title: Combined stent-graft and surgical treatment for a thoracoabdominal aortic aneurysm in a high risk patient.
abstract: We report a case of thoracoabdominal aortic aneurysm (TAAA) Crawford type I with high-risk factors. A 74-year-old woman, who had a history of myocardial infarction with severe left ventricular dysfunction, asthma, and hypothyroidism, underwent endovascular stent-graft replacement for TAAA and simultaneous surgical reconstruction of the visceral arteries to avoid thoracotomy and extracorporeal circulation. Postoperatively she suffered from weakness of the left leg, with suspected paraparesis, but recovered muscular strength to some extent and was discharged in a wheelchair on postoperative day 74.
authors.affiliation: Department of Cardiovascular Surgery, Himeji Cardiovascular Center, Himeji, Hyogo, Japan.
authors.forename: Hiroya
authors.initials: H
authors.lastname: Minami
authors.forename: Nobuhiko
authors.initials: N
authors.lastname: Mukohara
authors.forename: Hidefumi
authors.initials: H
authors.lastname: Obo
authors.forename: Masato
authors.initials: M
authors.lastname: Yoshida
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Fukuda
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Shida
mesh_terms: D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000175:diagnosis / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D005260:Female; D006801:Humans; D014656:Vascular Surgical Procedures