| Surgical Treatment for a Patient
with Crawford Type III Thoracoabdominal Aortic Aneurysm Associated
with Occlusion of the Visceral and the Iliac Arteries |
(Department of Cardiovascular Surgery, Hokkaido
University, Sapporo, Japan)
| Takashi Kunihara |
Toshifumi Murashita |
Norihiko Shiiya |
| Keishu Yasuda |
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We report a case with Crawford type
III thoracoabdominal aortic aneurysm associated with occlusion/stenosis
of the visceral and the iliac arteries necessitating surgical
repair. The patient was a 54-year-old man. His visceral arteries
were obstructed except the left renal artery which was stenotic.
His iliac arterial system was also completely occluded except
the patent left common and internal iliac arteries. The blood
flow of his visceral organs and lower extremities depended on
the collateral vessels from the left internal iliac artery. We
successfully performed thoracoabdominal aortic aneurysm repair
concomitant with reconstruction of the visceral arteries and
the femoral arteries using partial cardiopulmonary bypass between
the left internal iliac artery and the left femoral vein. It
is important to select appropriate adjuncts and surgical options
for patients with thoracoabdominal aortic aneurysms that involve
visceral/iliac arteries.
Jpn. J. Cardiovasc. Surg. 33: 387-390 (2004) |
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