title: Combined endovascular and surgical procedure for recurrent thoracoabdominal aortic aneurysm.
abstract: We report the case of an 85-year-old man with a recurrent thoracoabdominal aortic aneurysm who underwent two-staged combined endovascular and surgical procedure. First, two retrograde bypasses using saphenous vein grafts were implanted from the right common iliac artery to the celiac artery and superior mesenteric artery. Two weeks later the aneurysm was successfully excluded with a stent-graft. The postoperative course was uneventful. This two-staged combined endovascular and surgical approach may be a safe and effective alternative to open surgical repair of thoracoabdominal aortic aneurysm in high-risk patients.
authors.affiliation: Department of Cardiovascular Surgery and Radiology, Hyogo Brain and Heart Center, Himeji, Japan. myoshida@hbhc.jp
authors.forename: Masato
authors.initials: M
authors.lastname: Yoshida
authors.forename: Nobuhiko
authors.initials: N
authors.lastname: Mukohara
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Shida
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Fukuda
mesh_terms: D000369:Aged, 80 and over; D000714:Anastomosis, Surgical; D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000150:complications / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D002445:Celiac Artery / Q000601:surgery; D004322:Drainage; D016330:Frail Elderly; D006801:Humans; D007083:Iliac Artery / Q000601:surgery; D021621:Imaging, Three-Dimensional; D007676:Kidney Failure, Chronic / Q000150:complications / Q000628:therapy; D008297:Male; D017538:Mesenteric Artery, Superior / Q000601:surgery; D010264:Paraplegia / Q000517:prevention & control; D011183:Postoperative Complications / Q000517:prevention & control; D012008:Recurrence; D006435:Renal Dialysis; D012086:Reoperation; D012501:Saphenous Vein / Q000637:transplantation; D020760:Spinal Cord Ischemia / Q000517:prevention & control; D015607:Stents; D014057:Tomography, X-Ray Computed