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Updated: Apr 29, 2026
04:56
Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm
Published on: August 1, 2025
649
Open aortic repair up to previous abdominal aortic surgery
Antoine Monnot1, Martin Rouer1, Marie M Dusseaux2
1Department of Vascular Surgery, Rouen University Hospital, Rouen, France.
Annals of Vascular Surgery
|May 27, 2014
Summary
Direct open repair of thoracoabdominal aortic aneurysms after prior abdominal aortic surgery is safe. This approach, involving sequential aortic reconstruction with visceral bypasses, minimizes ischemic damage and shows no mortality or paraplegia in experienced hands.
Area of Science:
- Vascular Surgery
- Aortic Aneurysm Repair
- Surgical Outcomes
Background:
- Previous abdominal aortic surgery presents challenges for thoracoabdominal aortic aneurysm (TAAA) repair.
- Evaluating the safety of direct open repair in these complex cases is crucial.
Purpose of the Study:
- To assess the safety and efficacy of direct open repair for thoracoabdominal aortic aneurysms in patients with a history of abdominal aortic surgery.
Main Methods:
- A cohort of 10 patients with TAAAs underwent open repair between 2006 and 2012.
- Techniques included sequential aortic reconstruction with bypasses to visceral and renal arteries, and revascularization of critical intercostal arteries.
- Specific strategies were employed for Crawford type III and IV aneurysms.
Main Results:
- Zero mortality and zero paraplegia rates were observed.
- Pulmonary complications occurred in 5 patients; renal function returned to baseline.
- Mean follow-up was 35 months with no late deaths.
Conclusions:
- Direct open redo aortic surgery for TAAAs is a safe option.
- Sequential reconstruction with visceral bypasses effectively mitigates ischemic damage from high aortic cross-clamping.
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