BACKGROUND Aortic pathology progression and/or procedure related complications following endovascular repair should always be considered mostly in older patients. We herein describe a hybrid procedure for treatment of rapidly expanding thoracoabdominal aneurysm following endovascular treatment of a descending thoracic aortic aneurysm in an older patient. CASE PRESENTATION A 82-year-old man at...

Material and methods From January 2008 till May 2013, 16 patients age 55 ± 7 years, had been treated. They were symptomatic, with mean aneurysm dimension of 10 ± 2 centimeters. One patient had Crawford type IV TAAA that was unrecognized, mistaken for tumor and biopsied following explorative laparotomy for acute abdominal pain in another hospital. Surgery was performed through thoracophrenolapar...

OBJECTIVES Patients with thoracic aneurysmal disease involving the arch and the descending or thoracoabdominal aorta may require more than one surgical intervention. The results of one-stage repair using a hybrid stent-graft in the frozen elephant trunk manner are presented. METHODS Between January 2005 and March 2012, 113 (age 67 ± 10 years) of 358 registered patients in the International E-...

Paraplegia secondary to spinal cord infarction is a recognized complication of open thoracic and thoracoabdominal aortic aneurysm (TAA) repair. TAA is serious and unpredictable condition. Therefore, aortic repair requires thorough information on managing the potential complications will facilitate improve control the problem. We report the symptoms and management of paraplegia in a patient who ...

21 Katsargyris A, Oikonomou K, Klonaris C, Töpel I, Verhoeven ELG. Comparison of outcomes with open, fenestrated, and chimney graft repair of juxtarenal aneurysms: are we ready for a paradigm shift? J Endovasc Ther 2013;20(2):159e69. 22 Banno H, Cochennec F, Marzelle J, Becquemin J-P. Comparison of fenestrated endovascular aneurysm repair and chimney graft techniques for pararenal aortic aneury...

Medical investigation included angiotomography (May 23, 2005) which revealed enlargement of the mediastinum due to a bulky aneurysm in the thoracic aorta in its arch and descending portion, measuring 9 cm in transversal diameter and 7 cm in length, as well as mural thrombosis and an aneurysm at the thoracoabdominal junction with dimensions of 5 cm by 4 cm. Bilateral pleural effusions were detec...

Endovascular aneurysm repair (EVAR) of ruptured thoracoabdominal aortic aneurysms may be compromised or even impossible due to short proximal and/or distal necks or landing zones, respectively. Supra-aortic branches may limit the proximal anchorage and visceral or renal arteries the distal anchorage of endografts. While solutions have been proposed to overcome the problem of a short proximal ne...

Method For investigation of her complaints transthoracic echocardiography, thoracoabdominal computerized tomography with contrast and coronary angiography combined with thoracic aortography revealed an aortic aneurysm with 55 mm in diameter, beginning 4 cm distally from aortic root and ending prior to arc of aorta. Surgical intervention was planned in Cardiology and Cardiovascular surgery counc...

Aneurysms associated with inherited connective tissue disorders (CTD) constitute a specific but important issue in thoracoabdominal aortic aneurysm (TAAA) surgery. In this respect, Marfan syndrome and Ehlers-Danlos syndrome (EDS) type IV represent the most significant disorders causing aneurysmal dilatation of the thoracic aorta. Marfan syndrome typically causes aortic root dilatation, aortic v...