A simplified technique for the surgical treatment of aneurysms of the thoraco-abdominal and the upper abdominal aorta.
Aneurysms of the thoraco-abdominal and upper abdominal aorta require widespread and complex surgical treatment because of their extension and involvement of the viscera. This surgery is accompanied by significant morbidity and operative mortality rates. A description is made of a simplified surgical technique, easier to carry out than other techniques and with less risk to the patient, and minimal cardiac, cerebral and renal repercussions. In this technique, an aorto-iliac shunt is created, followed by intrasaccular revascularization of the splanchnic vessels by means of grafts placed between the shunt and the ostia of the digestive and renal arteries. Two cases in which this was successfully carried out are presented and discussed.
D001012:Aorta, Abdominal / Q000601:surgery; D001013:Aorta, Thoracic / Q000601:surgery; D001014:Aortic Aneurysm / Q000601:surgery*; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged