[The utilization of the "simplified technique" in the simultaneous management of independent thoracic and abdominal aortic aneurysms. A clinical report].
The coexistence of independent aneurysms of the thoracic and abdominal aorta in a single individual, with operative indication has been regarded, since ever, as an enormous challenge to the vascular surgeons and is a source of controversy, regarding the hierarchy, priorities and methods of expeditious management. The authors report the clinical case of a 65 years old male, with a descending thoracic aortic aneurysm, extended to the abdominal visceral vessels, having 6.5 cm of maximum size, together with an infrarenal aortic aneurysm, with 4.5 cm of major diameter. The patient underwent the surgical treatment of both aneurysms, in the same operation, utilizing the "simplified technique", introduced by ourselves in 1984, for the management of thoracoabdominal aortic aneurysms. The efficacy, safety and excellency of the procedure as well as of the clinical result, assessed by angio-CT scans, allow us to enhance one more indication for the "simplified technique" in the management of complex aortic pathology, thus justifying its presentation and divulgation.
da Gama
A Dinis
AD
Clínica Universitária de Cirurgia Vascular e Serviço de Anestesiologia do Hospital de Santa Maria, Centro Hospitalar Lisboa Norte (CHLN).
Perdigão
João
J
Ministro
Augusto
A
Evangelista
Ana
A
Damião
Angélica
A
Alves
A Garcia
AG
D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000150:complications* / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000150:complications* / Q000601:surgery*; D006801:Humans; D008297:Male; D019616:Thoracic Surgical Procedures / Q000379:methods; D014656:Vascular Surgical Procedures / Q000379:methods