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Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm
Published on: August 1, 2025
Thoracoabdominal Aortic Aneurysm in a Patient With Takayasu Arteritis
Akiko Tanaka1, Rana O Afifi1, Hazim J Safi1
1Department of Cardiothoracic and Vascular Surgery, McGovern Medical School at The University of Texas Health Science Center at Houston, Houston, Texas.
Abstract:
We report a successful treatment of extent III thoracoabdominal aortic aneurysm complicated with stenoocclusive visceral and iliac arteries in a 27-year-old woman with Takayasu arteritis. Distal first technique and a bypass to the left femoral artery was performed to maintain the pelvic circulation for spinal cord protection as the patient had right external iliac artery occlusion and left common iliac artery occlusion. In addition, we performed endarterectomy of the visceral branch orifices during the extent III thoracoabdominal aortic aneurysm repair. The patient recovered without spinal cord injury and serum creatinine improved from 1.22 to 0.53 mg/dL.
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