| Surgical Treatment for Thoracoabdominal Aneurysm with Severely Calcified Aorta |
(Division of Cardiovascular Surgery, Osaka Koseinenkin Hospital, Osaka, Japan and Division of Cardiovascular Surgery, Morinomiya Hospital*, Osaka, Japan)
| Noriko Tamaoka |
Nobuaki Hirata |
Takashi Nojiri |
| Akihiko Yagura |
Masaaki Kato* |
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We report a 59-year-old chronic hemodialysis patient with a thoracoabdominal aortic aneurysm, in whom the entire aortic wall and visceral branches were severely calcified. Using a staged operation approach, the celiac trunk and superior mesenteric artery were first bypassed with a composite graft made from a saphenous vein Y-graft and ePTFE. Next, we inserted a custom-made stent-graft, however, there was poor attachment at both the proximal and distal ends due to the severely calcified aortic wall. As a result, we used additional two stent-grafts. His postoperative course was good, and the CT scan performed one year after operation showed no endoleak.
Jpn. J. Cardiovasc. Surg. 37: 120-123 (2008) |
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