We experienced a patient of thoracoabdominal aortic aneurysm complicated with abdominal angina due to obstruction of the celiac and the superior mesenteric arteries. Bilateral renal artery stenoses were also present. At the operation we used the Biomedicus centrifugal pump and the heparin bonded tube for partial bypass. Following endarterectomy of the obstructed arteries, graft replacement of the thoracoabdominal aorta using inclusion technique was performed. Although endarterectomy of the superior mesenteric artery was not successful and its reconstruction was abandoned, the celiac artery and the bilateral renal arteries were reconstructed successfully. Postprandial pain was totally disappeared after the operation.