title: Simultaneous treatment of thoracic and infrarenal aortic aneurysm using a combination of conventional surgery and endoluminal stent grafting.
abstract: BACKGROUND
  Patients with multiple aortic aneurysms represent a small subgroup with the need for extensive surgical treatment at considerable risk. Endovascular treatment in combination with conventional operation is possible. We demonstrate a case with simultaneous exclusion of aneurysms of the descending thoracic and the infrarenal aorta to outline the technical obligations.
  
  
  CONCLUSIONS
  Simultaneous exclusion of a thoracic and an abdominal aneurysm can be performed successfully by conventional infrarenal aortic replacement with bifurcated dacron prosthesis and endovascular implantation of a thoracic stent-graft within one operation.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Hannover Medical School, Carl-Neuberg-Str. 1, D-30623 Hannover, Germany.
authors.forename: T U
authors.initials: TU
authors.lastname: Cohnert
authors.forename: A
authors.initials: A
authors.lastname: Chavan
authors.forename: T
authors.initials: T
authors.lastname: Wahlers
authors.forename: F
authors.initials: F
authors.lastname: Oelert
authors.forename: M
authors.initials: M
authors.lastname: Karck
authors.forename: M
authors.initials: M
authors.lastname: Galanski
authors.forename: A
authors.initials: A
authors.lastname: Haverich
mesh_terms: D000714:Anastomosis, Surgical / Q000379:methods; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods; D005260:Female; D006801:Humans; D008875:Middle Aged; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods*