Introduction. The conventional approach bined endovascular and surgical approach. with ruptured TAAA died due to shock-re- for the repair of thoracoabdominal aneu- Five procedures were electively conducted lated multiorgan failure. No patient experi- rysms remains complex and demanding and two on an emergency basis. The surgi- enced any temporary or permanent neuro- and is associated with substantial morbidi- cal approach was executed in all patients logical deficit. ty and mortality. Moreover, in cases of reop- without thoracotomy or redo retroperito- Conclusion. The combined endovascular eration the impact can be dramatic either neal exposure. Revascularization of the re- and surgical approach is feasible, without in survival or in quality of life of the patients, nal, superior mesenteric artery and celiac cross-clamping of the aorta and with min- despite the use of adjuncts. A combined en- trunk was accomplished via transperitoneal imized ischemia time for renal and viscer- dovascular and surgical approach with retro- bypass grafting. Aneurysmal exclusion was al arteries, and a thoracoabdominal transdi- grade perfusion of visceral and renal vessels performed by stent graft deployment. aphragmatic approach seems to be the ap- has been developed to minimize intraopera- Results. The entire procedure was techni- propriate strategy for high-risk and
Gefässchirurgie – Springer Journals
Published: Dec 9, 2004
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