A Successfully Treated Case of Crawford Type I Thoracoabdominal Aortic Aneurysm with Supra-renal Abdominal Aorta Occulusion by Endovascular Repair and Debranching Visceral Arteries

(Department of Cardiovascular Surgery, and Department of Vascular Surgery*, Shonan Kamakura General Hospital, Kamakura, Japan)

Ikuo Katayama Masashi Tanaka Hidemitsu Ogino*
Satoshi Ito Tadahiro Shimada Kazunori Hashimoto
Yoshikazu Ooshiro Miyo Shirouzu
A 64-year-old man under dialysis was referred for surgical treatment of Crawford type I thoracoabdominal aortic aneurysm. He had a history of idiopathic portal hypertension and chronic total occulusion of supra-renal abdominal aorta and appeared to have massive development of collateral arteries and veins in the abdomen. We chose endovascular repair with debranching of visceral arteries and bypass grafting to bilateral superficial femoral artery considering bleeding from collateral arteries and veins by conventional open surgery. Postoperative CT scan revealed no endoleak and all debranched and bypass grafts were patent. He was discharged with no postoperative complications including paraplegia.
  Jpn. J. Cardiovasc. Surg. 42:228-231(2013)

Keywords:thoracoabdominal aortic aneurysm, debranching, collateral artery and veins