Endovascular Stent-grafting for Ruptured Thoracoabdominal Aortic Aneurysm following Bypass Grafting to Celiac and Superior Mesenteric Arteries—A Case Report—

Abstract

Endovascular stent-grafting of thoracic and abdominal aorta pathology is emerging as the preferred treatment strategy in high risk patients. A patient was a 93-year-old female with renal dysfunction and chronic respiratory failure, who complained of severe back pain and critical anemia. Computed tomography (CT) revealed a ruptured thoracoabdominal aortic aneurysm (TAAA), located just above the celiac trunk. The patient successfully underwent an endovascular stent-grafting, following bypass-grafting to the superior mesenteric artery (SMA) and the celiac artery (CA). Postoperative course was uneventful. Follow-up CT showed significant decrease of size of TAAA. A less invasive endovascular repair would be an alternative treatment for high risk patients such as this case.