2007 Volume 16 Issue 4 Pages 633-636
A 98-year-old woman was referred to our hospital for the treatment of a thoracic aortic aneurysm. Although she was at an advanced age, she had clear consciousness, and strongly wished to be operated on. We judged it was possible to perform endovascular stent-grafting in terms of the anatomical aspect. The right femoral artery and left axillary artery were exposed, and we inserted the stent-graft by the tug-of-wire technique under heart arrest using adenosine triphosphate. The operation was completely successful, and no endoleak was detected on postoperative enhanced computed tomography imaging. On the 10th postoperative day, she went back to the former hospital. The conventional operation for thoracic aortic aneurysm is highly invasive for elderly people, and it which is contraindicated in quite a few cases. Endovascular stent-grafting is less invasive, and considered to be very effective, because it can widen the therapeutic choices.
