Korean J Thorac Cardiovasc Surg.  2013 Oct;46(5):365-368. 10.5090/kjtcs.2013.46.5.365.

Two-Stage Endovascular Repair for Concurrent Penetrating Atherosclerotic Ulcers of the Thoracic and Abdominal Aorta

Affiliations
  • 1Department of Thoracic and Cardiovascular Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Korea. joonhyukkong@empal.com
  • 2Department of Surgery, Yeungnam University College of Medicine, Korea.
  • 3Department of Radiology, Keimyung University Dongsan Medical Center, Keimyung University School of Medicine, Korea.
  • 4Department of Thoracic and Cardiovascular Surgery, CHA Gumi Medical Center, CHA University College of Medicine, Korea.

Abstract

We report a case of concurrent saccular aneurysms caused by a penetrating atherosclerotic ulcer of the thoracic and abdominal aorta that were successfully treated by staged endovascular repair. Even though surgical open repair or endovascular repair is the treatment option, use of endovascular repair is now accepted as an alternative treatment to surgery in selected patients. To prevent contrast medium-induced nephropathy and spinal cord ischemia caused by a simultaneous endovascular procedure, a saccular aneurysm of the descending thoracic aorta was excluded by stent graft, followed by the placement of a bifurcated stent graft in the infrarenal abdominal aorta one month later.

Keyword

Aortic aneurysm; Endovascular procedures; Contrast media; Spinal cord ischemia

MeSH Terms

Aneurysm
Aorta, Abdominal
Aorta, Thoracic
Aortic Aneurysm
Contrast Media
Endovascular Procedures
Humans
Spinal Cord Ischemia
Stents
Ulcer
Contrast Media
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