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Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm
Published on: August 1, 2025
Giant abdominal aortic aneurysms: clinical and technical considerations
D Maras1, C Lioupis, K G Moulakakis
1Department of Vascular Surgery, Red Cross Hospital, Athens, Greece.
Acta Chirurgica Belgica
|December 1, 2009
Summary
Rupture risk increases with abdominal aortic aneurysm (AAA) size. Giant AAAs (>13 cm) are rare and challenging to treat surgically, often requiring open repair despite significant risks.
Area of Science:
- Vascular Surgery
- Aortic Aneurysm Research
- Surgical Case Series
Background:
- Abdominal aortic aneurysm (AAA) rupture risk is diameter-dependent.
- Giant AAAs (>13 cm) are exceptionally rare, with limited reported cases.
- Ruptured AAAs present significant surgical challenges.
Observation:
- This report details 3 cases of ruptured giant AAAs.
- All patients underwent open surgical repair due to anatomical constraints.
- Surgical complexity was high due to aneurysm size, short neck, and organ adhesion.
Findings:
- Open surgical repair was the chosen management for these giant AAA ruptures.
- Anatomical factors precluded endovascular repair in all presented cases.
- Management of giant AAAs is technically demanding and outcomes can be variable.
Implications:
- Giant AAAs pose unique and severe surgical challenges.
- Open repair remains a critical, albeit difficult, option for ruptured giant AAAs.
- Further research into managing these rare, complex cases is warranted.
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