Abstract
A 44-year-old man, unaffected by Marfan s syndrome, had previously undergone thoracoabdominal replacement for a chronic, type B dissecting aneurysm. Reconstruction of the visceral arteries was performed using an island technique. However, approximately 3 years after the operation, the reconstructed part of the aorta containing the visceral arteries became dilated and an aneurysm formed. We have succeeded both in repairing the aneurysms and “re-reconstructing” the visceral arteries using a branched graft. We conclude that the technique of separate revascularization is worth considering from the beginning, even if the patient does not present with Marfan s syndrome.
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References
Carrel TP, Signer C. Separate revascularization of the visceral arteries in thoracoabdominal aneurysm repair. Ann Thorac Surg 1999; 68: 573–5.
Juvonen T, Biancari F, Ylonen K, Perala J, Rimpilainen J, Lepojarvi M. Combined surgical and endovascular treatment of pseudoaneurysms of the visceral arteries and of the left iliac arteries after thoracoabdominal aortic surgery. Eur J Vasc Endovasc Surg 2001; 22: 275–7.
Crawford ES, Snyder DM, Cho GC, Roehm JO Jr. Progress in treatment of thoracoabdominal and abdominal aortic aneurysms involving celiac, superior mesenteric, and renal arteries. Ann Surg 1978; 188: 404–22.
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Suzuki, K., Kazui, T., Ohno, T. et al. Re-reconstruction of visceral arteries with thoraco-abdominal aortic replacement using a branched graft. Jpn J Thorac Caridovasc Surg 53, 217–219 (2005). https://doi.org/10.1007/s11748-005-0110-y
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DOI: https://doi.org/10.1007/s11748-005-0110-y