Endovascular treatment of thoracoabdominal aortic aneurysm: a case report.
作者信息
Mohammadi Tofigh Arash, Ghasemi Massoud, Aghdam Babak Heidari, Karvandi Mersedeh, Kaboli Afsoon
机构信息
Imam Hossein Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
出版信息
J Med Case Rep. 2010 Feb 2;4:37. doi: 10.1186/1752-1947-4-37.
INTRODUCTION
Thoracoabdominal aortic aneurysms usually present in elderly patients with serious renal, pulmonary, cerebral, or cardiac comorbidities that pose a great challenge to the attending surgeon. Endovascular techniques for the treatment of thoracoabdominal aneurysms are not yet widely used due to limitations associated with them, such as spinal and visceral ischemia.
CASE PRESENTATION
An 87-year-old Caucasian man with a symptomatic Crawford type I thoracoabdominal aortic aneurysm was treated successfully with a long tube stent graft using endovascular techniques and without any complication in follow-up examinations. The stent was placed distal to the left subclavian artery, and proximal to the celiac axis.
CONCLUSION
The use of endovascular stents for long segment thoracoabdominal aortic aneurysms needs to undergo clinical investigation to determine whether this procedure decreases morbidity and mortality rates.
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