Separate Visceral Revascularization in Thoracoabdominal Aortic Aneurysm Repair: Report of 3 Cases.
- Author:
Hyang Hee CHOI
1
;
Hyung Kee KIM
;
Gun Jik KIM
;
Jong Tae LEE
;
Seung HUH
Author Information
1. Department of Surgery, Pohang St. Mary's Hospital, Pohang, Korea.
- Publication Type:Case Report
- Keywords:
Thoracoabdominal aortic aneurysm;
Visceral arteries;
Revascularization
- MeSH:
Acute Kidney Injury;
Aortic Aneurysm, Thoracic;
Arteries;
Humans;
Ischemia;
Marfan Syndrome;
Paraplegia;
Postoperative Complications;
Renal Artery
- From:Journal of the Korean Society for Vascular Surgery
2010;26(1):48-52
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Thoracoabdominal aortic aneurysm (TAAA) involving the roots of the celiac, superior mesenteric and both renal arteries is a rare, but potentially lethal disease. The overall postoperative mortality rate is high even when the intact TAAA is electively repaired. Furthermore, the postoperative complications are often serious and they include acute renal failure, paraplegia, respiratory distress and intestinal ischemia. The inclusion technique using a visceral-aortic patch (VAP) is considered the gold standard method for visceral artery revascularization for the treatment of TAAA. However, the inclusion technique is not feasible for patients with Marfan syndrome or for those patients with inappropriate anatomy for VAP. In such cases, separate visceral revascularization is a useful alternative and this may decrease the visceral ischemic time. Herein we report on 3 cases of TAAA, and the patients all underwent successful separate visceral revascularization, including one patient with Marfan syndrome.
