Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Endovascular treatment of thoracoabdominal aortic aneurysm: a case report | Mohammadi Tofigh et al. Journal of Medical Case Reports 2010 4 37 http content 4 1 37 jAc JOURNALOF medical ÌỤr case REPORTS CASE REPORT Open Access Endovascular treatment of thoracoabdominal aortic aneurysm a case report Arash Mohammadi Tofigh1 Massoud Ghasemi2 Babak Heidari Aghdam2 Mersedeh Karvandi3 Afsoon Kaboli2 Abstract Introduction Thoracoabdominal aortic aneurysms usually present in elderly patients with serious renal pulmonary cerebral or cardiac comorbidities that pose a great challenge to the attending surgeon. Endovascular techniques for the treatment of thoracoabdominal aneurysms are not yet widely used due to limitations associated with them such as spinal and visceral ischemia. Case presentation An 87-year-old Caucasian man with a symptomatic Crawford type I thoracoabdominal aortic aneurysm was treated successfully with a long tube stent graft using endovascular techniques and without any complication in follow-up examinations. The stent was placed distal to the left subclavian artery and proximal to the celiac axis. Conclusion The use of endovascular stents for long segment thoracoabdominal aortic aneurysms needs to undergo clinical investigation to determine whether this procedure decreases morbidity and mortality rates. Introduction Advancements in diagnostic techniques have made the detection of thoracoabdominal aortic aneurysm feasible with most centers reporting an increase of 5 in the detection of suprarenal aneurysms. Thoracoabdominal aortic aneurysms are usually identified in elderly patients with serious renal pulmonary cerebral or cardiac comorbidities that pose a great challenge to the attending surgeon 1 . Surgery necessitates a thoracoabdominal incision that will approach the aneurysm through the retroperitoneum and mobilize the visceral organs medially. In some cases the surgeon utilizes cardiopulmonary bypass to perfuse the distal vessels hoping to decrease the incidence of paraplegia 2 . The advent of .
