Endovascular stent-grafting for thoracoabdominal aortic aneurysm following bypass grafting to superior mesenteric and celiac arteries: report of two cases.
Two high-risk patients underwent an endovascular stent-grafting for thoracoabdominal aortic aneurysms (TAAA) following bypass-grafting to the visceral arteries. The first patient was a 73-year-old woman with severe ischemic heart disease (IHD) and chronic respiratory failure. The second patient was a 59-year-old woman with myelodysplastic syndromes (MDSs) and hepatic cell carcinoma (HCC). In general, TAAA is not considered to be indicated for endovascular stent-grafting because of the need to revascularize the visceral vessels. However, in some selected cases, such as the two cases presented herein, endovascular stent-grafting combined with bypass-grafting of the visceral arteries can be a feasible and a less-invasive alternative to conventional surgery.
Tachibana
Kazutoshi
K
Department of Thoracic and Cardiovascular Surgery, Sapporo Medical University School of Medicine, Sapporo, Japan.
Morishita
Kiyofumi
K
Kurimoto
Yoshihiko
Y
Fukada
Johji
J
Hachiro
Yoshikazu
Y
Abe
Tomio
T
D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D002445:Celiac Artery / Q000601:surgery*; D005260:Female; D006801:Humans; D017538:Mesenteric Artery, Superior / Q000601:surgery*; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D015607:Stents; D014656:Vascular Surgical Procedures / Q000379:methods