Elsevier

Journal of Vascular Surgery

Volume 35, Issue 2, February 2002, Pages 397-399
Journal of Vascular Surgery

Case Reports
Successful endografting with simultaneous visceral artery bypass grafting for severely calcified thoracoabdominal aortic aneurysm*,**

https://doi.org/10.1067/mva.2002.119037Get rights and content
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Abstract

We present two cases of severely calcified thoracoabdominal aortic aneurysm treated by means of endografting with a retrograde aortomesenteric bifurcated bypass graft reconstructing the celiac axis and superior mesenteric artery. To avoid spinal ischemia, we monitored evoked spinal cord potential and performed an occlusion test of the intercostal arteries using a retrievable stentgraft. No change in evoked spinal cord potential was noted, and no endoleaks or complications, including paraplegia, were observed. This procedure is a feasible and less-invasive treatment for severely calcified thoracoabdominal aortic aneurysms. (J Vasc Surg 2002;35:397-9.)

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*

Competition of interest: nil.

**

Reprint requests: Yoshiko Watanabe, MD, The Second Department of Surgery, Tokyo Medical University, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo 160, Japan.