A Case of Endovascular Stent
Graft Repair for Thoracic Descending Aortic Aneurysm with Porcelain
Aorta |
(Department of Thoracic Surgery, Anjo Kosei Hospital,
Anjo, Japan, Departments of Thoracic and Cardiovascular Surgery,
Shingu Municipal Medical Center*, Wakayama, Japan, Department
of Radiology, Mie University School of Medicine**, Tsu, Japan
and Department of Radiology, Matsuzaka Central Hospital***, Matsuzaka,
Japan)
Toru Mizumoto* |
Iwao Hioki |
Toshihiko Kinoshita |
Hideki Fujii |
Noriyuki Kato** |
Tadanori Hirano*** |
|
A 50-year-old man was admitted with
a fusiform descending thoracic aortic aneurysm measuring 60mm.
Chest CT scan revealed porcelain aorta from the aortic arch to
the abdominal aorta. Severe calcification found on the descending
aortic wall was considered to entail greater risk for conventional
aortic repair and reconstruction of intercostal arteries. Therefore
endovascular stent grafting was planned. The stent graft was
deployed from near the origin of the left subclavian artery to
the 10th thoracic vertebral level. Neither paraplegia nor other
complication occurred. Endovascular stent grafting may be a safe
and effective method for descending thoracic aneurysms with severely
calcified aorta.
@Jpn. J. Cardiovasc. Surg. 32: 311 -313 (2003) |
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