Repair of Thoracoabdominal Aortic Aneurysm with Thrombosed Infrarenal Component: A Modified Hybrid Technique without Aortic Cross Clamping
The authors report the successful repair of a Crawford type III thoracoabdominal aortic aneurysm (TAAA) with a thrombosed infrarenal component using a modified hybrid technique without aortic clamping in a high-risk patient. A 64-year-old male with a history of hypertension, diabetes, and severe chr...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2017/7432032 |
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| author | Hussam Abou-Al-Shaar Khaled J. Zaza Muhammad Anees Sharif Samer Koussayer |
| author_facet | Hussam Abou-Al-Shaar Khaled J. Zaza Muhammad Anees Sharif Samer Koussayer |
| author_sort | Hussam Abou-Al-Shaar |
| collection | DOAJ |
| description | The authors report the successful repair of a Crawford type III thoracoabdominal aortic aneurysm (TAAA) with a thrombosed infrarenal component using a modified hybrid technique without aortic clamping in a high-risk patient. A 64-year-old male with a history of hypertension, diabetes, and severe chronic obstructive pulmonary disease presented with acute on chronic backache and bilateral short distance claudication. A computerized tomography scan demonstrated a large, nonleaking Crawford type III TAAA with thrombosed infrarenal component of the aneurysm. In addition, both common iliac arteries were occluded with the chronic thrombus. A single-stage, modified hybrid procedure involving an aortobifemoral bypass without aortic clamping, debranching of right renal, superior mesenteric, and celiac arteries as well as an endovascular repair of the thoracic aneurysm was performed. Unfortunately, despite a technically sound repair, the patient died postoperatively from a massive pulmonary embolism. TAAA with a thrombosed infrarenal aorta and bilateral common iliac arteries can be repaired using a single-stage modified hybrid procedure without aortic clamping in high-risk patients who cannot tolerate thoracotomy and aortic cross clamping. |
| format | Article |
| id | doaj-art-78d469c46d83408b9f26f1047d922241 |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-78d469c46d83408b9f26f1047d9222412025-02-03T01:25:30ZengWileyCase Reports in Medicine1687-96271687-96352017-01-01201710.1155/2017/74320327432032Repair of Thoracoabdominal Aortic Aneurysm with Thrombosed Infrarenal Component: A Modified Hybrid Technique without Aortic Cross ClampingHussam Abou-Al-Shaar0Khaled J. Zaza1Muhammad Anees Sharif2Samer Koussayer3Division of Vascular and Endovascular Surgery, Department of Surgery, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi ArabiaDivision of Vascular and Endovascular Surgery, Department of Surgery, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi ArabiaDivision of Vascular and Endovascular Surgery, Department of Surgery, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi ArabiaDivision of Vascular and Endovascular Surgery, Department of Surgery, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi ArabiaThe authors report the successful repair of a Crawford type III thoracoabdominal aortic aneurysm (TAAA) with a thrombosed infrarenal component using a modified hybrid technique without aortic clamping in a high-risk patient. A 64-year-old male with a history of hypertension, diabetes, and severe chronic obstructive pulmonary disease presented with acute on chronic backache and bilateral short distance claudication. A computerized tomography scan demonstrated a large, nonleaking Crawford type III TAAA with thrombosed infrarenal component of the aneurysm. In addition, both common iliac arteries were occluded with the chronic thrombus. A single-stage, modified hybrid procedure involving an aortobifemoral bypass without aortic clamping, debranching of right renal, superior mesenteric, and celiac arteries as well as an endovascular repair of the thoracic aneurysm was performed. Unfortunately, despite a technically sound repair, the patient died postoperatively from a massive pulmonary embolism. TAAA with a thrombosed infrarenal aorta and bilateral common iliac arteries can be repaired using a single-stage modified hybrid procedure without aortic clamping in high-risk patients who cannot tolerate thoracotomy and aortic cross clamping.http://dx.doi.org/10.1155/2017/7432032 |
| spellingShingle | Hussam Abou-Al-Shaar Khaled J. Zaza Muhammad Anees Sharif Samer Koussayer Repair of Thoracoabdominal Aortic Aneurysm with Thrombosed Infrarenal Component: A Modified Hybrid Technique without Aortic Cross Clamping Case Reports in Medicine |
| title | Repair of Thoracoabdominal Aortic Aneurysm with Thrombosed Infrarenal Component: A Modified Hybrid Technique without Aortic Cross Clamping |
| title_full | Repair of Thoracoabdominal Aortic Aneurysm with Thrombosed Infrarenal Component: A Modified Hybrid Technique without Aortic Cross Clamping |
| title_fullStr | Repair of Thoracoabdominal Aortic Aneurysm with Thrombosed Infrarenal Component: A Modified Hybrid Technique without Aortic Cross Clamping |
| title_full_unstemmed | Repair of Thoracoabdominal Aortic Aneurysm with Thrombosed Infrarenal Component: A Modified Hybrid Technique without Aortic Cross Clamping |
| title_short | Repair of Thoracoabdominal Aortic Aneurysm with Thrombosed Infrarenal Component: A Modified Hybrid Technique without Aortic Cross Clamping |
| title_sort | repair of thoracoabdominal aortic aneurysm with thrombosed infrarenal component a modified hybrid technique without aortic cross clamping |
| url | http://dx.doi.org/10.1155/2017/7432032 |
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