title: Hybrid one-stage approach to extensive atherosclerotic aneurysm of thoracoabdominal aorta.
abstract: We report a 62-year-old man with an atherosclerotic Crawford type II aneurysm involving both common iliac arteries who underwent surgical revascularization of the visceral vessels and renal arteries from the ascending aorta and subsequent endovascular aneurysmal exclusion. Computed tomography imaging at 2 years showed complete exclusion of the aneurysm throughout the thoracoabdominal aorta, confirming the successful antegrade revascularization of visceral vessels and renal arteries. A hybrid approach to thoracoabdominal aneurysms using antegrade visceral and renal revascularization from the ascending aorta before endovascular repair is technically feasible and might constitute an attractive alternative to conventional surgical treatment.
authors.affiliation: Cardiovascular Department, Città di Lecce Hospital, GVM Hospitals Care and Research Foundation, Lecce, Italy. samuelebichi@hotmail.it
authors.forename: Samuele
authors.initials: S
authors.lastname: Bichi
authors.forename: Antonio M
authors.initials: AM
authors.lastname: Cricco
authors.forename: Antonino G M
authors.initials: AG
authors.lastname: Marullo
authors.forename: Renato
authors.initials: R
authors.lastname: Gregorini
authors.forename: Giampiero
authors.initials: G
authors.lastname: Esposito
mesh_terms: D017130:Angioplasty / Q000295:instrumentation / Q000379:methods*; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D050197:Atherosclerosis / Q000150:complications / Q000000981:diagnostic imaging; D003131:Combined Modality Therapy; D005500:Follow-Up Studies; D006801:Humans; D021621:Imaging, Three-Dimensional; D008297:Male; D008875:Middle Aged; D011182:Postoperative Care / Q000379:methods; D012077:Renal Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D012079:Renal Circulation / Q000502:physiology; D018570:Risk Assessment; D012720:Severity of Illness Index; D015607:Stents; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014654:Vascular Patency / Q000502:physiology; D014656:Vascular Surgical Procedures / Q000379:methods