Combined Endovascular and Surgical Approach for Thoracoabdominal Aortic Aneurysm in High Risk Patient

Abstract

We report combined endovascular and surgical approach for thoracoabdominal aortic aneurysm (TAAA) in 4 high-risk patients. This approach was planned to avoid excessive adverse effects by a thoracotomy or usage of extracorporeal circulation. In all cases, visceral vessels were reconstructed prior to endovascular stent-graft repair. We underwent both procedures as a single stage operation in early two cases. The results were non-satisfactory because of a fatal complication or paraparesis. On the contrary, two patients who experienced 2-stage treatment suffered no complications. In conclusion, 2-stage combined endovascular and surgical approach may be a safer and more effective alternative to TAAA in high-risk patients.