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Updated: Jul 20, 2026

Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm
Published on: August 1, 2025
Combined endovascular and surgical procedure for recurrent thoracoabdominal aortic aneurysm
Masato Yoshida1, Nobuhiko Mukohara, Tsutomu Shida
1Department of Cardiovascular Surgery and Radiology, Hyogo Brain and Heart Center, Himeji, Japan. myoshida@hbhc.jp
Abstract:
We report the case of an 85-year-old man with a recurrent thoracoabdominal aortic aneurysm who underwent two-staged combined endovascular and surgical procedure. First, two retrograde bypasses using saphenous vein grafts were implanted from the right common iliac artery to the celiac artery and superior mesenteric artery. Two weeks later the aneurysm was successfully excluded with a stent-graft. The postoperative course was uneventful. This two-staged combined endovascular and surgical approach may be a safe and effective alternative to open surgical repair of thoracoabdominal aortic aneurysm in high-risk patients.
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