We developed a simple and secure technique for reimplantation of the intercostal arteries (ICAs) using a patch graft during thoracoabdominal aneurysm repair. With our procedure, a sidearm branch with its base is tailored from a 24 mm one-branch Dacron graft, and then sutured as a patch graft to the trimmed wall of the descending aorta to cover the ICA orifices between Th9 and Th12. The proximal...

Mycotic aortic aneurysms (MAAs) are a rare form of that associated with catastrophic outcomes if not diagnosed and treated on time. However, MAAs diagnostic challenge owing to their often nonspecific presentation. In this study, we present case 42-year-old female pertinent history intravenous drug use who presented generalized body pain for two weeks was found have mycotic thoracoabdominal aneu...

OBJECTIVES We undertook a quantitative systematic review of randomized controlled trials (RCTs) and observational studies to determine the effectiveness of cerebrospinal fluid (CSF) drainage to prevent paraplegia in thoracic aneurysm (TA) and thoracoabdominal aortic aneurysm (TAAA) surgery. METHODS We included RCTs and cohort studies that met the following criteria: elective or emergent aneur...

OBJECTIVE To demonstrate the viability of the use of extracorporeal circulation established between the left atrium and ascending aorta to induce deep hypothermia for correcting thoracic and thoracoabdominal aortic aneurysms. METHODS From January 1994 to July 2001, 38 patients (mean age, 54.6 +/- 12.7 years) were operated on as follows: 12 (31.6%) patients underwent repair of thoracoabdominal...