Abstract
A 44 year old man underwent successful surgery for a thoracoabdominal aortic aneurysm using a permanent bypass graft and aneurysmoplasty. This technique reduces visceral ischemia to a minimum and the aneurysmoplasty, through total preservation of the intercostal and lumbar arteries, can avoid paraplegia caused by spinal cord ischemia. Our technique is recommended as it can be performed easily, safely, and effectively without heparinization, temporary shunts or bypass perfusion.
Similar content being viewed by others
References
Bickerstaff LK, Pairolero L, Holier LH. Thoracic aortic aneurysms: a portation based study. Surgery 1982; 92: 1103–1108.
Crawford ES, Schuester JS. Thoracoabdominal and abdominal aortic aneurysms involving celiac, superior mesenteric, and renal arteries. World J Surg 1980; 4: 643–652.
DeBakey ME, Crawford ES, Garrett HE, Beall AC Jr, Howell JF. Surgical considerations in the treatment of the thoracoabdominal aorta. Ann Surg 1965; 162: 650–662.
Crawford ES. Thoracoabdominal and abdominal aortic aneurysms involving renal, superior mesenteric, and celiac arteries. Ann Surg 1974; 179: 763–772.
Hardy JD, Timmis HH, Saleh SS, Hardin WJ. Thoracoabdominal aortic aneurysm: simplified surgical management with case report. Ann Surg 1967; 166: 1008–1011.
Lie M, Grimsgaard C, Vaage J, Sorle D. A modified surgical technique for treatment of thoracoabdominal aortic aneurysms. J Cardiovasc Surg 1988; 29: 418–420.
Crawford ES, Snyder DM, Cho GC, Roehm JOF Jr. Progress in treatment of thoracoabdominal and abdominal aortic aneurysms involving celiac, superior mesenteric, and renal arteries. Ann Surg 1978; 188: 404–422.
Selle JG, Robicsek F, Daugherty HK, Cook JW. Thoracoabdominal aortic aneurysms. Ann Surg 1979; 189: 158–164.
Murray GF, Yuong WG Jr. Thoracic aneurysmectomy utilizing direct left ventriculofemoral shunt (TDMAC-Heparin) bypass. Ann Thoracic Surg 1976; 21: 26–29.
Crawford ES, Walker HSJ, Saleh SA, Normann NA. Graft replacement of aneurysm in descending thoracic aorta; results without bypass or shunting. Surgery 1981; 89: 73–85.
Najafi H, Javid H, Hunter J, Serry C, Monson D. Descending aortic aneurysmectomy without adjuncts to avoid ischemia. Ann Thoracic Surg 1980; 30: 326–335.
Edmunds LH, Wash S, Folkman MJ. Aneurysmoplasty and prosthetic bypass for aneurysms of the descending thoracic and thoracoabdominal aorta. J Thoracic Cardiovasc Surg 1966; 52: 395–407.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Ishikura, Y., Odagiri, S., Shimazu, A. et al. The surgical treatment of a thoracoabdominal aortic aneurysm with total preservation of the intercostal and lumbar arteries using a permanent bypass technique a case report. The Japanese Journal of Surgery 21, 120–124 (1991). https://doi.org/10.1007/BF02470877
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF02470877