Surgical Treatment for a Patient with Crawford Type III Thoracoabdominal Aortic Aneurysm Associated with Occlusion of the Visceral and the Iliac Arteries
10.4326/jjcvs.33.387
- VernacularTitle:腹腔動脈，上腸間膜動脈閉塞，腎動脈，腸骨動脈の閉塞／狭窄病変を伴うＣｒａｗｆｏｒｄ ＩＩＩ型胸腹部大動脈りゅうに対する１手術症例
- Author:
Takashi Kunihara
;
Toshifumi Murashita
;
Norihiko Shiiya
;
Keishu Yasuda
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2004;33(6):387-390
- CountryJapan
- Language:Japanese
-
Abstract:
We report a case with Crawford type III thoracoabdominal aortic aneurysm associated with occlusion/stenosis of the visceral and the iliac arteries necessitating surgical repair. The patient was a 54-year-old man. His visceral arteries were obstructed except the left renal artery which was stenotic. His iliac arterial system was also completely occluded except the patent left common and internal iliac arteries. The blood flow of his visceral organs and lower extremities depended on the collateral vessels from the left internal iliac artery. We successfully performed thoracoabdominal aortic aneurysm repair concomitant with reconstruction of the visceral arteries and the femoral arteries using partial cardiopulmonary bypass between the left internal iliac artery and the left femoral vein. It is important to select appropriate adjuncts and surgical options for patients with thoracoabdominal aortic aneurysms that involve visceral/iliac arteries.
