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Ann Thorac Surg 2007;83:2216-2219
© 2007 The Society of Thoracic Surgeons

Case Reports

Thoracoabdominal Aortic Aneurysm Associated With Abdominal Aortic and Visceral Arterial Occlusion in a Hemodialysis Patient

Masato Nakajima, MD*, Koji Tsuchiya, MD, Okihiko Akashi, MD, Hironobu Morimoto, MD, Kaori Kato, MD

Department of Cardiovascular Surgery, Yamanashi Central Hospital, Kofu City, Yamanashi, Japan

Accepted for publication November 28, 2006.

* Address correspondence to Dr Nakajima, Yamanashi Central Hospital, Department of Cardiovascular Surgery, 1-1-1 Fujimi, Kofu City, Yamanashi, 400-0027, Japan (Email: m-nakajima2a{at}ych.pref.yamanashi.jp).

We report an extremely rare case of saccular thoracoabdominal aortic aneurysm associated with high abdominal aortic occlusion including the superior mesenteric and bilateral renal arteries in a patient requiring hemodialysis. Successful repair of the aneurysm and concomitant revascularization of the lower extremities was achieved using femoro-femoral bypass for perfusion of the lower body along with the visceral and intercostal arteries.






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Copyright © 2007 by The Society of Thoracic Surgeons.