Surgical Treatment for Thoracoabdominal Aneurysm with Severely Calcified Aorta
10.4326/jjcvs.37.120
- VernacularTitle:広範な大動脈全周性石灰化を伴った胸腹部大動脈瘤に対する血管内治療
- Author:
Noriko Tamaoka
;
Nobuaki Hirata
;
Takashi Nojiri
;
Akihiko Yagura
;
Masaaki Kato
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2008;37(2):120-123
- CountryJapan
- Language:Japanese
-
Abstract:
We report a 59-year-old chronic hemodialysis patient with a thoracoabdominal aortic aneurysm, in whom the entire aortic wall and visceral branches were severely calcified. Using a staged operation approach, the celiac trunk and superior mesenteric artery were first bypassed with a composite graft made from a saphenous vein Y-graft and ePTFE. Next, we inserted a custom-made stent-graft, however, there was poor attachment at both the proximal and distal ends due to the severely calcified aortic wall. As a result, we used additional two stent-grafts. His postoperative course was good, and the CT scan performed one year after operation showed no endoleak.
