Surgical Treatment for Thoracoabdominal Aneurysm with Severely Calcified Aorta

(Division of Cardiovascular Surgery, Osaka Koseinenkin Hospital, Osaka, Japan and Division of Cardiovascular Surgery, Morinomiya Hospital*, Osaka, Japan)

Noriko Tamaoka Nobuaki Hirata Takashi Nojiri
Akihiko Yagura Masaaki Kato*
We report a 59-year-old chronic hemodialysis patient with a thoracoabdominal aortic aneurysm, in whom the entire aortic wall and visceral branches were severely calcified. Using a staged operation approach, the celiac trunk and superior mesenteric artery were first bypassed with a composite graft made from a saphenous vein Y-graft and ePTFE. Next, we inserted a custom-made stent-graft, however, there was poor attachment at both the proximal and distal ends due to the severely calcified aortic wall. As a result, we used additional two stent-grafts. His postoperative course was good, and the CT scan performed one year after operation showed no endoleak.
@Jpn. J. Cardiovasc. Surg. 37: 120-123 (2008)