Contrivance to Preserve Lumbar Arteries on a Hybrid Thoracic Endovascular Aortic Repair for a Thoracoabdominal Aneurysm: A Case Report

Abstract

An 82-year-old woman suspected of thoracoabdominal aortic aneurysm impending rupture was admitted for an emergency. The aorta was sharply bent just below the renal arteries. A hybrid thoracic endovascular aortic repair (TEVAR) was performed. On the first day after transecting the aorta just below the renal arteries, a straight graft was interposed between the proximal aorta and the left common iliac artery, the distal aorta was anastomosed to a bifurcated graft and its legs were used for debranching four visceral arteries. Next day, TEVAR was executed via the femoral artery. The postoperative course was uneventful without paraplegia. As a result, she was discharged on foot on 19th postoperative day.