Combined Endovascular and Surgical Procedure for Recurrent Thoracoabdominal Aortic Aneurysm
We report the case of an 85-year-old man with a recurrent thoracoabdominal aortic aneurysm who underwent two-staged combined endovascular and surgical procedure. First, two retrograde bypasses using saphenous vein grafts were implanted from the right common iliac artery to the celiac artery and supe...
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Veröffentlicht in: | The Annals of thoracic surgery 2006-09, Vol.82 (3), p.1099-1101 |
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creator | Yoshida, Masato Mukohara, Nobuhiko Shida, Tsutomu Fukuda, Tetsuya |
description | We report the case of an 85-year-old man with a recurrent thoracoabdominal aortic aneurysm who underwent two-staged combined endovascular and surgical procedure. First, two retrograde bypasses using saphenous vein grafts were implanted from the right common iliac artery to the celiac artery and superior mesenteric artery. Two weeks later the aneurysm was successfully excluded with a stent-graft. The postoperative course was uneventful. This two-staged combined endovascular and surgical approach may be a safe and effective alternative to open surgical repair of thoracoabdominal aortic aneurysm in high-risk patients. |
doi_str_mv | 10.1016/j.athoracsur.2006.01.083 |
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First, two retrograde bypasses using saphenous vein grafts were implanted from the right common iliac artery to the celiac artery and superior mesenteric artery. Two weeks later the aneurysm was successfully excluded with a stent-graft. The postoperative course was uneventful. This two-staged combined endovascular and surgical approach may be a safe and effective alternative to open surgical repair of thoracoabdominal aortic aneurysm in high-risk patients.</description><identifier>ISSN: 0003-4975</identifier><identifier>EISSN: 1552-6259</identifier><identifier>DOI: 10.1016/j.athoracsur.2006.01.083</identifier><identifier>PMID: 16928550</identifier><identifier>CODEN: ATHSAK</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Aged, 80 and over ; Anastomosis, Surgical ; Aortic Aneurysm, Abdominal - complications ; Aortic Aneurysm, Abdominal - surgery ; Aortic Aneurysm, Thoracic - complications ; Aortic Aneurysm, Thoracic - surgery ; Biological and medical sciences ; Blood and lymphatic vessels ; Blood Vessel Prosthesis Implantation - methods ; Cardiology. Vascular system ; Celiac Artery - surgery ; Diseases of the aorta ; Drainage ; Frail Elderly ; Humans ; Iliac Artery - surgery ; Imaging, Three-Dimensional ; Kidney Failure, Chronic - complications ; Kidney Failure, Chronic - therapy ; Male ; Medical sciences ; Mesenteric Artery, Superior - surgery ; Paraplegia - prevention & control ; Postoperative Complications - prevention & control ; Recurrence ; Renal Dialysis ; Reoperation ; Saphenous Vein - transplantation ; Spinal Cord Ischemia - prevention & control ; Stents ; Surgery (general aspects). Transplantations, organ and tissue grafts. 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First, two retrograde bypasses using saphenous vein grafts were implanted from the right common iliac artery to the celiac artery and superior mesenteric artery. Two weeks later the aneurysm was successfully excluded with a stent-graft. The postoperative course was uneventful. This two-staged combined endovascular and surgical approach may be a safe and effective alternative to open surgical repair of thoracoabdominal aortic aneurysm in high-risk patients.</description><subject>Aged, 80 and over</subject><subject>Anastomosis, Surgical</subject><subject>Aortic Aneurysm, Abdominal - complications</subject><subject>Aortic Aneurysm, Abdominal - surgery</subject><subject>Aortic Aneurysm, Thoracic - complications</subject><subject>Aortic Aneurysm, Thoracic - surgery</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Blood Vessel Prosthesis Implantation - methods</subject><subject>Cardiology. Vascular system</subject><subject>Celiac Artery - surgery</subject><subject>Diseases of the aorta</subject><subject>Drainage</subject><subject>Frail Elderly</subject><subject>Humans</subject><subject>Iliac Artery - surgery</subject><subject>Imaging, Three-Dimensional</subject><subject>Kidney Failure, Chronic - complications</subject><subject>Kidney Failure, Chronic - therapy</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mesenteric Artery, Superior - surgery</subject><subject>Paraplegia - prevention & control</subject><subject>Postoperative Complications - prevention & control</subject><subject>Recurrence</subject><subject>Renal Dialysis</subject><subject>Reoperation</subject><subject>Saphenous Vein - transplantation</subject><subject>Spinal Cord Ischemia - prevention & control</subject><subject>Stents</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the respiratory system</subject><subject>Tomography, X-Ray Computed</subject><issn>0003-4975</issn><issn>1552-6259</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE1v1DAQhi0EokvhLyBf4JZgx3HiHJdV-ZAqtaLlxMFy7Al4ldhlHFfqv6-XXWmPnEajeWbm1UMI5azmjHef9rVZ_0Q0NmWsG8a6mvGaKfGCbLiUTdU1cnhJNowxUbVDLy_Im5T2pW3K-DW54N3QKCnZhvzaxWX0ARy9Ci4-mmTzbJCa4Ohdxt_empneYrTgMgKdItIfYDMihJXe_4sQzeji4kMBtxFXb-k2QMantLwlryYzJ3h3qpfk55er-9236vrm6_fd9rqyrVBr1fbSjrwVA3BQrekVOOVGaQR00rTNxEbunHCyn5xxspMwDna0ZrCN67kAIS7Jx-PdB4x_M6RVLz5ZmGcTIOakO9X3iosDqI6gxZgSwqQf0C8GnzRn-iBW7_VZrD6I1YzrIrasvj_9yOMC7rx4MlmADyegODTzhCZYn86cYqpp27Zwn48cFCOPHlAn6yEUwR7BrtpF__80zyf3nmk</recordid><startdate>20060901</startdate><enddate>20060901</enddate><creator>Yoshida, Masato</creator><creator>Mukohara, Nobuhiko</creator><creator>Shida, Tsutomu</creator><creator>Fukuda, Tetsuya</creator><general>Elsevier Inc</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20060901</creationdate><title>Combined Endovascular and Surgical Procedure for Recurrent Thoracoabdominal Aortic Aneurysm</title><author>Yoshida, Masato ; Mukohara, Nobuhiko ; Shida, Tsutomu ; Fukuda, Tetsuya</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c438t-475cb1439e1e84a78ed8db5a3e65a42f0b1dd3d57fdad565eb9cbca9c2d713e33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Aged, 80 and over</topic><topic>Anastomosis, Surgical</topic><topic>Aortic Aneurysm, Abdominal - complications</topic><topic>Aortic Aneurysm, Abdominal - surgery</topic><topic>Aortic Aneurysm, Thoracic - complications</topic><topic>Aortic Aneurysm, Thoracic - surgery</topic><topic>Biological and medical sciences</topic><topic>Blood and lymphatic vessels</topic><topic>Blood Vessel Prosthesis Implantation - methods</topic><topic>Cardiology. Vascular system</topic><topic>Celiac Artery - surgery</topic><topic>Diseases of the aorta</topic><topic>Drainage</topic><topic>Frail Elderly</topic><topic>Humans</topic><topic>Iliac Artery - surgery</topic><topic>Imaging, Three-Dimensional</topic><topic>Kidney Failure, Chronic - complications</topic><topic>Kidney Failure, Chronic - therapy</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Mesenteric Artery, Superior - surgery</topic><topic>Paraplegia - prevention & control</topic><topic>Postoperative Complications - prevention & control</topic><topic>Recurrence</topic><topic>Renal Dialysis</topic><topic>Reoperation</topic><topic>Saphenous Vein - transplantation</topic><topic>Spinal Cord Ischemia - prevention & control</topic><topic>Stents</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. 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First, two retrograde bypasses using saphenous vein grafts were implanted from the right common iliac artery to the celiac artery and superior mesenteric artery. Two weeks later the aneurysm was successfully excluded with a stent-graft. The postoperative course was uneventful. This two-staged combined endovascular and surgical approach may be a safe and effective alternative to open surgical repair of thoracoabdominal aortic aneurysm in high-risk patients.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>16928550</pmid><doi>10.1016/j.athoracsur.2006.01.083</doi><tpages>3</tpages></addata></record> |
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subjects | Aged, 80 and over Anastomosis, Surgical Aortic Aneurysm, Abdominal - complications Aortic Aneurysm, Abdominal - surgery Aortic Aneurysm, Thoracic - complications Aortic Aneurysm, Thoracic - surgery Biological and medical sciences Blood and lymphatic vessels Blood Vessel Prosthesis Implantation - methods Cardiology. Vascular system Celiac Artery - surgery Diseases of the aorta Drainage Frail Elderly Humans Iliac Artery - surgery Imaging, Three-Dimensional Kidney Failure, Chronic - complications Kidney Failure, Chronic - therapy Male Medical sciences Mesenteric Artery, Superior - surgery Paraplegia - prevention & control Postoperative Complications - prevention & control Recurrence Renal Dialysis Reoperation Saphenous Vein - transplantation Spinal Cord Ischemia - prevention & control Stents Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the respiratory system Tomography, X-Ray Computed |
title | Combined Endovascular and Surgical Procedure for Recurrent Thoracoabdominal Aortic Aneurysm |
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