Case ReportsEndovascular Repair of a Thoracoabdominal Aortic Aneurysm Involving the Celiac Artery and the Superior Mesenteric Artery
Section snippets
CASE REPORT
A 79-year-old man was referred to our hospital for a repair of his TAAA. Open surgery was considered dangerous because of his age and a history of bronchial asthma, and the patient preferred endovascular repair. The maximum diameter of the aneurysm was 70 mm. It was located in the descending thoracic aorta to the abdominal aorta and was found in the preoperative computed tomographic (CT) scans to involve the CA and the SMA (Fig. 1). The optimal distal landing zone of the stent graft was just
DISCUSSION
The involvement of visceral arteries limits the application of a stent graft in TAAA. Several reports have demonstrated successful stent-graft placement with surgical reconstruction of the visceral arteries,6, 7 but reports of a branched stent-graft implantation in TAAA have been very limited.5, 8 The feasibility of the Inoue branched stent graft in complex aortic aneurysms has been demonstrated.5 The Inoue branched stent-graft implantation in a thoracoabdominal aorta requires some specific
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Cited by (29)
Meta-analysis of outcomes after intentional coverage of celiac artery in thoracic endovascular aortic repair
2021, Journal of Vascular SurgeryCitation Excerpt :Computed tomography angiography can provide excellent anatomic detail of the patency of the visceral arteries. More accurately, angiography of the SMA with temporary balloon occlusion of the CA can provide sufficient information regarding the velocity and rate of collateral flow.37 The contraindications to CA coverage include cases with inadequate collateral flow between the CA and SMA, such as patients with coexisting critical SMA occlusive disease, patients who have undergone previous surgical or endovascular interventions in which potential collateral branches could have been compromised, and patients with a common celiacomesenteric trunk.38
Chronic mesenteric ischemia after partial coverage of the celiac artery during TEVAR, case report, and review of the literature
2014, Annals of Vascular SurgeryCitation Excerpt :Saito et al.4 published the first description of successful intentional coverage of the CA during TEVAR. Subsequently, others have published case reports and small case series that report that CA coverage is generally well tolerated and associated with a low risk of acute mesenteric ischemia.2–13 The most extensive study to date is a comprehensive literature review by Jim et al.
Intentional coverage of the celiac artery during thoracic endovascular aortic repair
2013, Journal of Vascular SurgeryRenal autotransplant for subsequent endovascular exclusion of the thoracoabdominal aorta
2013, Annals of Vascular SurgeryCitation Excerpt :In extensive chronic dissections that evolve with the formation of a large aneurysm, the dissection is maintained from the end of the endoprosthesis due to multiple orifices (reentries) that communicate with the lumens.2 In addition, one of the primary limitations of this technique is when the visceral arteries have disease involvement.3 In this study we present a case where, despite having treated the entire length of the descending thoracic aorta, the dissection was maintained distally, leading to progression of the diameter of the aneurysm.
Coverage of the Celiac Artery During TEVAR: Is it Ever Appropriate?
2009, Seminars in Vascular SurgeryInoue Stent-Graft Implantation for Thoracoabdominal Aortic Aneurysm Involving the Visceral Arteries
2008, European Journal of Vascular and Endovascular Surgery