JTCS St. Jude Medical
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Ryuzo Sakata
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Iguro, Y.
Right arrow Articles by Sakata, R.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Iguro, Y.
Right arrow Articles by Sakata, R.
Related Collections
Right arrow Great vessels

J Thorac Cardiovasc Surg 2003;125:956-958
© 2003 The American Association for Thoracic Surgery

Brief Communications

Endovascular stent-graft repair for thoracoabdominal aneurysm after reconstruction of the superior mesenteric and celiac arteries

Yoshifumi Iguro, MD, Goichi Yotsumoto, MD, Naoki Ishizaki, MD, Kenichi Arata, MD, Ryuzo Sakata, MD Kagoshima, Japan

From the Second Department of Surgery, Kagoshima University Faculty of Medicine, Kagoshima, Japan.

Received for publication July 10, 2002. Accepted for publication Aug 20, 2002. Address for reprints: Yoshifumi Iguro, MD, The Second Department of Surgery, Kagoshima University, Faculty of Medicine, 8-350-1, Sakuragaoka Kagoshima City, Kagoshima Prefecture, 890-8520 Japan (E-mail: iguro@med6.kufm.kagoshimau.ac.jp).

The first 20% of the full text of this article appears below.

Thoracoabdominal aortic aneurysm (TAAA) is not considered on indication for endovascular stent-graft repair because of the need to revascularize the visceral vessels. This article details for the first time a case of TAAA repair in which an endovascular stent graft was placed after reconstruction of the visceral vessels.

Clinical summary

A 63-year-old woman was referred to our hospital for the treatment of a TAAA. The patient had tuberculosis and pleuritis at 16 and 21 years of age, respectively. Computed tomography and abdominal echocardiography revealed a porcelain descending aorta and a large saccular calcified aneurysm with mural thrombus in the thoracoabdominal aorta. The maximum aneurysmal diameter was 60 mm. Aortography showed a Crawford extent III TAAA involving the celiac artery and the superior mesenteric artery (SMA; Figure 1).


Figure Removed (Available Only in the Full Text)
View larger version (96K):
[in this window]
[in a new window]
  		Fig. 1. Preoperative aortogram and computed tomogram. A, Preoperative aortogram showing a Crawford grade 3 saccular TAAA arising from the supraphrenic descending aorta and extending to the suprarenal aorta. The aneurysm involved the celiac artery and the SMA. B, Enhanced computed tomogram showing a large saccular calcified aneurysm, with mural thrombus in the thoracoabdominal aorta. The maximum aneurysmal diameter was 60 mm.

 
We assumed that pleural adhesion and severe calcification would . . . [Full Text of this Article]






HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2003 by The American Association for Thoracic Surgery.