scholarly journals Collateral Formation from Left Lateral Thoracic Artery to the Adamkiewicz Artery

Aorta ◽  
2021 ◽  
Author(s):  
Toshihiro Fukui ◽  
Jun Takaki ◽  
Ken Okamoto
Keyword(s):  
Computed Tomography ◽  
Aortic Aneurysm ◽  
Neurological Deficit ◽  
Thoracoabdominal Aortic Aneurysm ◽  
Multidetector Row Computed Tomography ◽  
Collateral Vessel ◽  
Lateral Thoracic Artery ◽  
Aortic Replacement ◽  
Adamkiewicz Artery ◽  
Collateral Formation

AbstractA 68-year-old man who had undergone descending thoracic aortic replacement was referred to our hospital with a thoracoabdominal aortic aneurysm. During the original surgery, the Adamkiewicz artery was directly reconstructed. However, multidetector row computed tomography showed occlusion of the reconstructed artery at its orifice, with supply by a collateral vessel from the left lateral thoracic artery. With careful incision to avoid damage to the collateral vessel, no postoperative neurological deficit was observed.

scholarly journals Elective reconstruction of thoracoabdominal aortic aneurysm type IV by transabdominal approach

2012 ◽  
Vol 69 (1) ◽  
pp. 90-93
Author(s):  
Ivan Marjanovic ◽  
Miodrag Jevtic ◽  
Sidor Misovic ◽  
Momir Sarac
Keyword(s):  
Computed Tomography ◽  
Aortic Aneurysm ◽  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Thoracoabdominal Aortic Aneurysm ◽  
Aortic Dilatation ◽  
Aortic Reconstruction ◽  
Transabdominal Approach ◽  
Type Iv

Introduction. Thoracoabdominal aortic aneurysm (TAAA) type IV represents an aortic dilatation from the level of the diaphragmatic hiatus to the iliac arteries branches, including visceral branches of the aorta. In the traditional procedure of TAAA type IV repair, the body is opened using thoractomy and laparotomy in order to provide adequate exposure of the descending thoracic and abdominal aorta for safe aortic reconstruction. Case report. We reported a 71-yearold man with elective reconstruction of the TAAA type IV performed by transabdominal approach. Computed tomography scans angiography revealed a TAAA type IV with diameter of 62 mm in the region of celiac trunk and superior mesenteric artery branching, and the largest diameter of 75 mm in the infrarenal aortic level. The patient comorbidity included a chronic obstructive pulmonary disease and hypertension, therefore he was treated for a prolonged period. In preparation for the planned aortic reconstruction asymptomatic carotid disease (occlusion of the left internal carotid artery and subtotal stenosis of the right internal carotid artery) was diagnosed. Within the same intervention percutaneous transluminal angioplasty with stent placement in right internal carotid artery was made. In general, under endotracheal anesthesia and epidural analgesia, with transabdominal approach performed aortic reconstruction with tubular dakron graft 24 mm were, and reimplantation of visceral aortic branches into the graft performed. Postoperative course was uneventful, and the patient was discharged on the postoperative day 17. Control computed tomography scan angiography performed three months after the operation showed vascular state of the patient to be in order. Conclusion. Complete transabdominal approach to TAAA type IV represents an appropriate substitute for thoracoabdominal approach, without compromising safety of the patient. This approach is less traumatic, especially in patients with impaired pulmonary function, because there is no thoracotomy and any complications that could follow this approach.

scholarly journals Infectious Rupture of a Dissecting Thoracoabdominal Aortic Aneurysm Due to Citrobacter freundii

2021 ◽  
Author(s):  
Masafumi Hashimoto ◽  
Kenji Mogi ◽  
Manabu Sakurai ◽  
Tomoki Sakata ◽  
Kengo Tani ◽  
...  
Keyword(s):  
Aortic Aneurysm ◽  
Thoracoabdominal Aortic Aneurysm ◽  
Prosthetic Graft ◽  
Omental Flap ◽  
Citrobacter Freundii ◽  
Aortic Replacement ◽  
Thoracoabdominal Aortic Replacement ◽  
Pseudomembranous Enteritis

Here we describe a case involving an elderly man with Citrobacter freundii-associated infectious rupture of a dissecting thoracoabdominal aortic aneurysm. We performed emergency thoracoabdominal aortic replacement using a rifampicin-soaked prosthetic graft and omental flap wrapping. The patient was discharged on postoperative day 255, although he experienced pseudomembranous enteritis and paraplegia.

Endovascular Repair of a Thoracoabdominal Aortic Aneurysm With a Patient-Specific Fenestrated-Branched Stent-Graft

2017 ◽  
Vol 24 (5) ◽  
pp. 665-669 ◽  
Author(s):  
Bernardo C. Mendes ◽  
Lawrence E. Greiten ◽  
Gustavo S. Oderich
Keyword(s):  
Computed Tomography ◽  
Aortic Aneurysm ◽  
Stent Graft ◽  
Open Repair ◽  
Thoracoabdominal Aortic Aneurysm ◽  
Renal Arteries ◽  
Mesenteric Arteries ◽  
Patient Specific ◽  
Technical Aspects

Purpose: To describe the technical aspects of a thoracoabdominal aortic aneurysm (TAAA) repair using a patient-specific fenestrated-branched stent-graft. Technique: The technique is demonstrated in a 69-year-old man with a 6.2-cm asymptomatic type III TAAA. A patient-specific fenestrated-branched stent-graft was designed with 2 down-going directional branches for the celiac and superior mesenteric arteries and 2 reinforced fenestrations for the renal arteries. The procedure was performed under general anesthesia and included sequential stenting of the celiac, superior mesenteric, and bilateral renal arteries. The patient was discharged from the hospital on postoperative day 5 with no complications. Follow-up computed tomography angiography demonstrated exclusion of the aneurysm and patent target vessels at 12-month follow-up. Conclusion: This article and illustrated video highlight the steps for procedure planning and implantation of fenestrated and branched endografts. As these techniques continue to evolve, outcomes are expected to be equivalent or improved as compared to those of long-established open repair.

scholarly journals Multidetector Computed Tomography Angiography Findings of Chronic-Contained Thoracoabdominal Aortic Aneurysm Rupture with Severe Thoracal Vertebral Body Erosion

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Ruken Yuksekkaya ◽  
Ali Ekrem Koner ◽  
Fatih Celikyay ◽  
Murat Beyhan ◽  
Ferdag Almus ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Aortic Aneurysm ◽  
Multidetector Computed Tomography ◽  
Ct Angiography ◽  
Vertebral Body ◽  
Multidetector Ct ◽  
Thoracoabdominal Aortic Aneurysm ◽  
Aneurysm Rupture ◽  
Aortic Aneurysms ◽  
Adjacent Structures

Chronic-contained aortic aneurysm rupture with vertebral erosion is a rare entity with fatal complications. Multidetector computed tomography (CT) angiography is an important diagnostic method for the evaluation of the aortic aneurysms, their complications, and also the relationship between aneurysm and branching vessels and adjacent structures. We present the multidetector CT angiography findings of a 62-year-old patient with chronic-contained thoracoabdominal aortic aneurysm rupture causing severe vertebral body erosion.

scholarly journals False aortic aneurysm due to proximal and distal tears after aortic replacement

2021 ◽  
Author(s):  
keita kamata ◽  
mitsumasa hata ◽  
Rei Hinoura ◽  
susumu isaka ◽  
Yusuke Ishii ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Chest Pain ◽  
Aortic Aneurysm ◽  
Emergency Surgery ◽  
Circulatory Arrest ◽  
Hypothermic Circulatory Arrest ◽  
Aortic Graft ◽  
Graft Replacement ◽  
Aortic Replacement ◽  
Cardiac Surgeons

A 68-year-old woman who had been well for 2 years after ascending aortic graft replacement experienced sudden chest pain. Computed tomography showed a large false aortic aneurysm around the prosthesis. However, the patient was hemodynamically stable and did not have anemia. Emergency surgery under hypothermic circulatory arrest revealed tears at both the proximal and distal anastomotic sites and blood circulating from the proximal (exit) to the distal (entry) tears underneath the pericardium. To our knowledge, the present case represents a previously unreported pathology that will be of great interest to cardiologists and cardiac surgeons.

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