Abstract
A case of a thoracoabdominal aortic aneurysm (Type IV on the Crawford classification) that was operated on successfully is reported. The patient was a 65-year-old male. The approach to the aneurysm was made accodring to the spiral opening method of Stoney. Arterial reconstruction was performed using DeBakey's method. During the operation, neither extracorporeal circulation nor temporary shunt was used. A pair of intercostal arteries was revascularized using an artificial graft. Although the graft was occluded during the operation, the patient did not suffer paraplegia. Postoperatively, liver and renal function deteriorated, but were improved by medical treatment.
About 200 thoracoabdominal aortic aneurysmal operations have been reported in Japan. Although in general intercostal arterial revascularization is difficult in DeBakey's method, the use of this arterial reconstruction is reported.
