title: Simultaneous endovascular exclusion of thoracic aortic aneurysm with open abdominal aortic aneurysm repair.
abstract: BACKGROUND
  The treatment of aneurysms at multiple sites within the aorta is problematic.
  
  
  METHODS
  Between March 2002 and June 2003 in the Department of General, Vascular and Transplant Surgery, Medical University of Warsaw six patients with coexisting abdominal and descending thoracic aortic aneurysms underwent simultaneous open abdominal aortic aneurysm (AAA) repair and endoluminal thoracic aortic aneurysm (TAA) repair. The indication for a combined procedure was a diagnosed descending TAA and AAA with no significant risk factors for open aortic surgery or technical contraindications for endovascular treatment of TAA.
  
  
  RESULTS
  One patient died in the peri-operative period while the other five patients all recovered well after surgery and were discharged with both aneurysms excluded.
  
  
  CONCLUSIONS
  Endovascular treatment of TAA combined with a simultaneous open AAA repair is an efficient and relatively safe treatment modality in patients with TAA and AAA disqualified from endovascular repair. The fact that thoracotomy is not a necessity significantly lowers the complication rate in these patients.
authors.affiliation: Department of General, Vascular and Transplant Surgery, Medical University of Warsaw, Warszawa, Poland.
authors.forename: J
authors.initials: J
authors.lastname: Szmidt
authors.forename: O
authors.initials: O
authors.lastname: Rowiński
authors.forename: Z
authors.initials: Z
authors.lastname: Gałazka
authors.forename: T
authors.initials: T
authors.lastname: Jakimowicz
authors.forename: S
authors.initials: S
authors.lastname: Nazarewski
authors.forename: T
authors.initials: T
authors.lastname: Grochowiecki
authors.forename: R
authors.initials: R
authors.lastname: Pacho
mesh_terms: D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011044:Poland; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D012086:Reoperation; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures