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Updated: Jul 16, 2026

Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm
Published on: August 1, 2025
Descending thoracic aortic aneurysm complicated with severe vertebral erosion
Yosuke Takahashi1, Yasuyuki Sasaki, Toshihiko Shibata
1Department of Cardiovascular Surgery, Osaka City University Graduate School of Medicine, 1-4-3 Asahi-machi, Abeno-ku, Osaka 545-8585, Japan. ysk@msic.med.osaka-cu.ac.jp
Abstract:
We describe a case of successful surgical treatment for mycotic thoracic aortic aneurysm with vertebral erosion. A 70-year-old man presented with a 2 month history of back pain. Chest roentgenography and enhanced computed tomography showed a descending thoracic aortic aneurysm with destruction of T8-T10 vertebrae. We suspected that the formation of pseudoaneurysms was due to direct extension of tuberculous vertebral osteomyelitis. He was managed with a combination of surgery and antituberculous chemotherapy. No causative pathogen was identified from specimens obtained perioperatively. The postoperative course was uneventful and he remained well 2 years later.
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