Case report

Endovascular treatment of thoracoabdominal aortic aneurysm: a case report

Arash Mohammadi Tofigh¹ , Massoud Ghasemi² , Babak Heidari Aghdam² , Mersedeh Karvandi³ and Afsoon Kaboli²

¹  Imam Hossein Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran

²  Research Center of Endovascular Intervention, Tehran, Iran

³  Taleghani Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

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Journal of Medical Case Reports 2010, 4:37doi:10.1186/1752-1947-4-37

Published:	2 February 2010

Abstract

Introduction

Thoracoabdominal aortic aneurysms usually present in elderly patients with serious renal, pulmonary, cerebral, or cardiac comorbidities that pose a great challenge to the attending surgeon. Endovascular techniques for the treatment of thoracoabdominal aneurysms are not yet widely used due to limitations associated with them, such as spinal and visceral ischemia.

Case presentation

An 87-year-old Caucasian man with a symptomatic Crawford type I thoracoabdominal aortic aneurysm was treated successfully with a long tube stent graft using endovascular techniques and without any complication in follow-up examinations. The stent was placed distal to the left subclavian artery, and proximal to the celiac axis.

Conclusion

The use of endovascular stents for long segment thoracoabdominal aortic aneurysms needs to undergo clinical investigation to determine whether this procedure decreases morbidity and mortality rates.