title: Thoracoabdominal aneurysm repair using a four-branched thoracoabdominal graft: a case series.
abstract: Revascularization of the visceral arteries during thoracoabdominal aneurysm repair is usually performed sequentially by an anastomosis between a prosthetic graft and an aortic patch. There are immediate operative risks such as bleeding and distortion. In the longer term, aneurysm, pseudo-aneurysm and rupture may occur. These require reoperation and are associated with significant morbidity and mortality.We present our experience with Crawford IV thoracoabdominal aneurysm repair in four patients, using a prefabricated four-branched graft (Coselli graft). At two years there were no deaths, no complications and no vessel abnormalities on computed tomography. We recommend its use as the graft of choice in young patients with an aortic tissue disorder requiring total resection of the aortic wall at the level of the visceral vessels.
authors.affiliation: Second Cardiac Surgical Department, Evangelismos General Hospital, Ipsilantou Street 45-47, Athens, 106767, Greece. kokotsakis@internet.gr
authors.forename: John
authors.initials: J
authors.lastname: Kokotsakis
authors.forename: George
authors.initials: G
authors.lastname: Lazopoulos
authors.forename: Hutan
authors.initials: H
authors.lastname: Ashrafian
authors.forename: Panagiotis
authors.initials: P
authors.lastname: Misthos
authors.forename: Thanos
authors.initials: T
authors.lastname: Athanasiou
authors.forename: Achilleas
authors.initials: A
authors.lastname: Lioulias