Simultaneous treatment of thoracic and infrarenal aortic aneurysm using a combination of conventional surgery and endoluminal stent grafting

• Published in: Langenbeck's archives of surgery Vol. 385; no. 1; pp. 27 - 30
• Main Authors: Cohnert, T U, Chavan, A, Wahlers, T, Oelert, F, Karck, M, Galanski, M, Haverich, A
• Format: Journal Article
• Language: English
• Published: Germany 01.01.2000
• Subjects: Anastomosis, Surgical - methods; Aortic Aneurysm, Abdominal - diagnostic imaging; Aortic Aneurysm, Abdominal - surgery; Aortic Aneurysm, Thoracic - diagnostic imaging; Aortic Aneurysm, Thoracic - surgery; Blood Vessel Prosthesis Implantation - methods; Female; Humans; Middle Aged; Stents; Tomography, X-Ray Computed; Treatment Outcome; Vascular Surgical Procedures - methods
• ISSN: 1435-2443; 1435-2451
• DOI: 10.1007/s004230050006

Patients with multiple aortic aneurysms represent a small subgroup with the need for extensive surgical treatment at considerable risk. Endovascular treatment in combination with conventional operation is possible. We demonstrate a case with simultaneous exclusion of aneurysms of the descending thoracic and the infrarenal aorta to outline the technical obligations. Simultaneous exclusion of a thoracic and an abdominal aneurysm can be performed successfully by conventional infrarenal aortic replacement with bifurcated dacron prosthesis and endovascular implantation of a thoracic stent-graft within one operation.