title: Endovascular repair for a descending thoracic aortic aneurysm with a stent-graft covering the celiac artery: report of two cases.
abstract: An adequate landing zone for fixation and sealing is necessary for endovascular aneurysm repair (EVAR). This report presents two cases of a successful EVAR for thoracic aortic aneurysms (TAA) with a stent-graft covering the celiac artery (CA) to secure a distal landing zone. Case 1 was a 61-year-old man with a chronic traumatic descending TAA 12 mm away from the CA. Case 2 was a 79-year-old man with a descending TAA proximal to the CA. Preoperative angiography and computed tomography (CT) scan revealed a normal visceral blood flow including the peripancreatic arteries. Endovascular aneurysm repair with coverage of the CA was performed in both cases. Angiography after the EVAR demonstrated good blood flow to the CA branches via the peripancreatic arteries and a CT scan showed thrombosed aneurysms. Both patients were discharged without any abdominal symptoms. Endovascular aneurysm repair with a stent-graft covering the CA may therefore be an acceptable endovascular approach in treating selected TAA patients with a limited distal landing zone.
authors.affiliation: Department of Vascular Surgery, Aichi Medical University, Nagakute, Aichi, 480-1195, Japan.
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Ishibashi
authors.forename: Tsuneo
authors.initials: T
authors.lastname: Ishiguchi
authors.forename: Takashi
authors.initials: T
authors.lastname: Ohta
authors.forename: Ikuo
authors.initials: I
authors.lastname: Sugimoto
authors.forename: Jun
authors.initials: J
authors.lastname: Kawanishi
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Yamada
authors.forename: Noriyuki
authors.initials: N
authors.lastname: Hida
authors.forename: Seiji
authors.initials: S
authors.lastname: Kamei
mesh_terms: D000368:Aged; D015901:Angiography, Digital Subtraction; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D001783:Blood Flow Velocity; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D002445:Celiac Artery; D006801:Humans; D021621:Imaging, Three-Dimensional; D008297:Male; D008875:Middle Aged; D015607:Stents; D014057:Tomography, X-Ray Computed; D014949:Wounds, Nonpenetrating / Q000150:complications