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Ann Thorac Surg 2002;74:1685-1687
© 2002 The Society of Thoracic Surgeons

Case Report

Treatment of thoracoabdominal aneurysm with self-expandable aortic stent grafts

José Honório Palma, MDa*, Fausto Miranda, MDb, Amaury R. Gasques, MDd, Claudia Maria Rodrigues Alves, MDc, José Augusto Marcondes de Souza, MDc, Enio Buffolo, MDa

a Department of Cardiovascular Surgery, São Paulo, Brazil
b Department of Vascular Surgery, São Paulo, Brazil
c Department of Cardiology, Medical School, São Paulo Federal University, , São Paulo, Brazil
d Aortic Institute, Santa Marina Hospital, São Paulo, Brazil

Accepted for publication July 15, 2002.

* Address reprint requests to Dr Palma, Cardiovascular Surgery Department, São Paulo Federal University, Rua Borges Lagoa 1080, 7 Andar –São Paulo, SP, Brazil 04038-031, USA.
e-mail: jhpalma.dcir{at}epm.br

A 67-year-old man with a large thoracoabdominal aneurysm was treated utilizing the endovascular approach with multiple stent graft implantation. The proximal thoracic and distal abdominal necks of the aneurysm had favorable anatomy for insertion of multiple endovascular stents. The proximal end was located just distal to the left subclavian artery, and stents were placed to the region of the celiac axis. The infrarenal aneurysm was treated with a bifurcated stent graft to the iliac arteries. The patient has had a smooth post-stent insertion course and remains well after 3 months of follow-up.




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