title: Complex Aortic Aneurysm: A Current Indication for Debranching.
abstract: Conventional open repair of thoracoabdominal aortic aneurysms is still associated with severe complications and shows immediate mortality rates up to 20%. Although there is an increasing number of cases treated exclusively by an endovascular approach, renovisceral debranching still represents a valid alternative in high-risk patients for open surgery and in those patients where endovascular procedures are not feasible due to anatomic limitations or are not available when patients cannot wait for treatment. Herein we report the case of a patient with multiple surgical interventions and an extensive aortic aneurysm, complicated with a chronic contained rupture of the renovisceral aorta, who was successfully treated by means of a hybrid technique involving renovisceral debranching after discarding a pure endovascular management due to anatomical criteria.
authors.affiliation: Vascular Surgery Department, Hospital Universitario Central de Asturias, Oviedo, Spain. Electronic address: carito-padron@hotmail.com.
authors.forename: Carol
authors.initials: C
authors.lastname: Padrón Encalada
authors.affiliation: Vascular Surgery Department, Hospital Universitario Central de Asturias, Oviedo, Spain.
authors.forename: Carlota
authors.initials: C
authors.lastname: Fernandez Prendes
authors.affiliation: Vascular Surgery Department, Hospital Universitario Central de Asturias, Oviedo, Spain.
authors.forename: Margarita
authors.initials: M
authors.lastname: Rivas Dominguez
authors.affiliation: Vascular Surgery Department, Hospital Universitario Central de Asturias, Oviedo, Spain.
authors.forename: Amer
authors.initials: A
authors.lastname: Zanabili Al-Sibai
authors.affiliation: Vascular Surgery Department, Hospital Universitario Central de Asturias, Oviedo, Spain.
authors.forename: Mario
authors.initials: M
authors.lastname: Gonzalez Gay
authors.affiliation: Vascular Surgery Department, Hospital Universitario Central de Asturias, Oviedo, Spain.
authors.forename: José
authors.initials: J
authors.lastname: Llaneza Coto
authors.affiliation: Vascular Surgery Department, Hospital Universitario Central de Asturias, Oviedo, Spain.
authors.forename: Manuel
authors.initials: M
authors.lastname: Alonso Pérez
mesh_terms: D000368:Aged; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D001019:Aortic Rupture / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation; D000072226:Computed Tomography Angiography; D004621:Embolization, Therapeutic; D057510:Endovascular Procedures; D006801:Humans; D008297:Male; D016896:Treatment Outcome