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Ann Thorac Surg 1998;66:256-258
© 1998 The Society of Thoracic Surgeons

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Original articles: general thoracic

Endoscopic placement of stents in aneurysms of the descending thoracic aorta

^a Division of Cardiovascular Surgery, Escola Paulista de Medicina, São Paulo, Brazil
^b Division of Cardiology, Escola Paulista de Medicina, São Paulo, Brazil

Accepted for publication February 2, 1998.

Address reprint requests to Dr Palma, Rua Borges Lagoa, 783, 5th Fl, São Paulo, SP, Brazil
e-mail: (jhpalma.dcir{at}epm.br)

This is a case of a patient with two saccular aneurysms in the descending aorta. Two self-expanding stents were inserted through an opening in the aortic arch, guided by the use of an Olympus endoscope, under profound hypothermia and total circulatory arrest. The bloodless field made possible the identification of the main thoracic branches, facilitating the positioning and deployment of both stents. Immediate postoperative recovery was excellent.

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