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)