title: A pseudoaneurysm after repair of thoraco-abdominal aortic aneurysm.
abstract: We report a 63-year-old female patient developing a pseudoaneurysm three years after patch-plasty of an aneurysm located at the distal thoracic aorta. Redo-operation was performed including total replacement of the descending thoracic aorta with reimplantation of distal intercostal arteries using small-caliber interposition grafts. This case presentation underlines the ineffectiveness of patch repair for the treatment of aortic aneurysms. Furthermore, the surgical technique of reimplantation of intercostal arteries using a separate graft is discussed.
authors.affiliation: Department of Thoracic Cardiovascular Surgery, Showa University Fujigaoka Hospital, Yokohama, Kanagawa, Japan.
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Tanaka
authors.forename: Takashi
authors.initials: T
authors.lastname: Narisawa
authors.forename: Takanobu
authors.initials: T
authors.lastname: Mori
authors.forename: Yoshiro
authors.initials: Y
authors.lastname: Masuda
authors.forename: Takashi
authors.initials: T
authors.lastname: Suzuki
mesh_terms: D017541:Aneurysm, False / Q000209:etiology*; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D005260:Female; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications; D012086:Reoperation; D014656:Vascular Surgical Procedures / Q000379:methods