Treatment of co-existing thoracic and abdominal aortic aneurysms using combined endoluminal stent grafts and conventional surgery.

نویسندگان

  • N. Arya
  • M. Rao
  • B. Lee
  • R. J. Hannon
  • C. V. Soong
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.

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عنوان ژورنال:
  • The Ulster Medical Journal

دوره 72  شماره 

صفحات  -

تاریخ انتشار 2003