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Updated: May 10, 2026

Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm
Published on: August 1, 2025
Intact giant abdominal aortic aneurysm due to Takayasu arteritis
Shashidhar Kallappa Parameshwarappa1, Nedounsejiane Mandjiny, Balasubramoniam Kavumkal Rajagopalan
1Division of Vascular and Endovascular Surgery, Department of Cardiovascular and Thoracic Surgery, Sree Titra Tirunal Institute for Medical Sciences and Technology, Kerala, India.
Abstract:
A 35-year-old male fisherman was admitted with complaints of increasing back pain and abdominal discomfort of 1-year duration. Physical examination revealed a prominently visible, expansile, pulsatile, well-defined, nontender abdominal mass in the epigastric, umbilical and both lumbar areas. Computed tomographic (CT) angiography revealed a large juxtarenal aortic aneurysm with a maximum transverse diameter of 14.7 cm with bi-iliac extensions. Anatomy of the aneurysm did not permit endovascular aneurysm repair (EVAR). The patient underwent open surgical inclusion repair using an aorto-bi-iliac, 16 mm × 8 mm, collagen-impregnated, bifurcated Dacron graft. Postoperative recovery was uncomplicated and he left the hospital on postoperative day 5 in good health and has remained so up to the most recent 8-month follow-up. Histopathologic study showed signature features of Takayasu arteritis.
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