Treatment of co-existing thoracic and abdominal aortic aneurysms using combined endoluminal stent grafts and conventional surgery.
نویسندگان
چکیده
We report three patients with a descending thoracic aortic aneurysm (DTAA) and a separate infra-renal abdominal aortic aneurysm (AAA) who had initial endovascular repair of the DTAA followed by repair of AAA. Endovascular stent repair of DTAA avoids the significant morbidity associated with thoracotomy and open repair. Hence more patients with multilevel aortic aneurysm may be eligible for surgical intervention. Aortic aneurysms most often present as a confluent dilatation, either of the thoracic, the thoraco-abdominal or the infra renal abdominal aorta. Co-existing multilevel aortic aneurysms are present in a small subgroup of patients. Of these, the combination of infra-renal abdominal aortic aneurysm (AAA) and an aneurysm of descending thoracic aorta is the most frequently encountered.' The usual method of open repair of these aneurysms is through simultaneous or sequential thoracotomy and laparotomy, which is associated with significant morbidity and mortality.
منابع مشابه
Endovascular stent grafting of descending thoracic aortic aneurysms.
The treatment of descending thoracic aortic aneurysms using endovascular stents is one of the more recent advances in treatment and is receiving increasing attention as it is a less invasive alternative to open surgical repair. Although the technology is still primitive, significant improvements have lately been made in the design and deployment of the endovascular stent-grafts. Aortic stent-gr...
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ورودعنوان ژورنال:
- The Ulster Medical Journal
دوره 72 شماره
صفحات -
تاریخ انتشار 2003