A Successfully Treated Case of Crawford Type I Thoracoabdominal Aortic Aneurysm with Supra-renal Abdominal Aorta Occulusion by Endovascular Repair and Debranching Visceral Arteries
10.4326/jjcvs.42.228
- VernacularTitle:上腸間膜動脈直下の腹部大動脈慢性閉塞を伴う Crawford I 型胸腹部大動脈瘤に対して debranching TEVAR を施行した1例
- Author:
Ikuo Katayama
;
Masashi Tanaka
;
Hidemitsu Ogino
;
Satoshi Ito
;
Tadahiro Shimada
;
Kazunori Hashimoto
;
Yoshikazu Ooshiro
;
Miyo Shirouzu
- Publication Type:Journal Article
- Keywords:
thoracoabdominal aortic aneurysm;
debranching;
collateral artery and veins
- From:Japanese Journal of Cardiovascular Surgery
2013;42(3):228-231
- CountryJapan
- Language:Japanese
-
Abstract:
A 64-year-old man under dialysis was referred for surgical treatment of Crawford type I thoracoabdominal aortic aneurysm. He had a history of idiopathic portal hypertension and chronic total occulusion of supra-renal abdominal aorta and appeared to have massive development of collateral arteries and veins in the abdomen. We chose endovascular repair with debranching of visceral arteries and bypass grafting to bilateral superficial femoral artery considering bleeding from collateral arteries and veins by conventional open surgery. Postoperative CT scan revealed no endoleak and all debranched and bypass grafts were patent. He was discharged with no postoperative complications including paraplegia.
