J Korean Soc Vasc Surg.  2010 May;26(1):48-52.

Separate Visceral Revascularization in Thoracoabdominal Aortic Aneurysm Repair: Report of 3 Cases

• Choi HH
• Kim HK
• Kim GJ
• Lee JT
• Huh S

Abstract

Thoracoabdominal aortic aneurysm (TAAA) involving the roots of the celiac, superior mesenteric and both renal arteries is a rare, but potentially lethal disease. The overall postoperative mortality rate is high even when the intact TAAA is electively repaired. Furthermore, the postoperative complications are often serious and they include acute renal failure, paraplegia, respiratory distress and intestinal ischemia. The inclusion technique using a visceral-aortic patch (VAP) is considered the gold standard method for visceral artery revascularization for the treatment of TAAA. However, the inclusion technique is not feasible for patients with Marfan syndrome or for those patients with inappropriate anatomy for VAP. In such cases, separate visceral revascularization is a useful alternative and this may decrease the visceral ischemic time. Herein we report on 3 cases of TAAA, and the patients all underwent successful separate visceral revascularization, including one patient with Marfan syndrome.

Keyword

Thoracoabdominal aortic aneurysm; Visceral arteries; Revascularization

MeSH Terms

Acute Kidney Injury
Aortic Aneurysm, Thoracic
Arteries
Humans
Ischemia
Marfan Syndrome
Paraplegia
Postoperative Complications
Renal Artery