title: Thromboexclusion of the complete aorta in the treatment of chronic type B aneurysm.
abstract: We report a case of a 55-year-old woman who was referred to us with a huge chronic postdissection thoracoabdominal aneurysm of a maximal intrathoracic diameter of 13.5 cm and signs of intrathoracic imminent rupture with subparietal pleural hemorrhagic effusion. Computed tomography examination revealed that the left lung had undergone complete atelectasis and carnification owing to compression of the left principal bronchus. There were also signs of left kidney atrophy because of the left renal artery originating from the thrombosed false lumen. Owing to delicate preoperative condition, we decided to perform thromboexclusion of the complete aorta with reattachment of all the supra-aortic and visceral branches and complete bipolar exclusion of thoracoabdominal aorta. The patient was discharged from the hospital on the 35th postoperative day in a good condition. Following computed tomography scan revealed complete thrombosis of the excluded portion of the aorta.
authors.affiliation: Clinic for Cardiovascular Surgery, Institute of Cardiovascular Diseases Vojvodina, Sremska Kamenica, Republic of Serbia.
authors.forename: Pavle
authors.initials: P
authors.lastname: Kovacevic
authors.forename: Lazar
authors.initials: L
authors.lastname: Velicki
authors.forename: Renata
authors.initials: R
authors.lastname: Mojasevic
authors.forename: Edouard
authors.initials: E
authors.lastname: Kieffer
mesh_terms: D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation; D002908:Chronic Disease; D005260:Female; D006801:Humans; D008875:Middle Aged; D013536:Suture Techniques; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome