title: [Thoracoabdominal aortic aneurysm repair with preservation of the diaphragm and intercostal muscles].
abstract: In thoracoabdominal aortic aneurysm (TAAA) repair, postoperative respiratory complication is a major problem. TAAA repair was performed in a 75-year-old man. The computed tomography showed a TAAA (Crawford type IV) with shaggy descending thoracic aorta. Stomach and small intestine were compressed by the TAAA with resultant appetite loss. And reduced respiratory function was observed. In such a case thoracotomy is usually required for operation. However, we applied the extra pleural dissection without thoracotomy, and the diaphragm and intercostal muscles were preserved. Using the selective abdominal organ perfusion, graft replacement was performed between iliac arteries and descending aorta. The postoperative course was uneventful, and respiratory function was preserved.
authors: Department of Cardiovascular Surgery, Matsuyama Shimin Hospital, Matsuyama, Japan.
authors: Teiji
authors: T
authors: Jinno
authors: Kenji
authors: K
authors: Sangawa
mesh_terms: D000368:Aged; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D003964:Diaphragm; D006801:Humans; D007366:Intercostal Muscles; D008297:Male; D014656:Vascular Surgical Procedures / Q000379:methods*