AI Article Synopsis
- The coexistence of Leriche syndrome and a thoracoabdominal aortic aneurysm presents unique surgical challenges due to limited anastomosis options.
- A 56-year-old patient with a history of significant heart surgeries had an occluded abdominal aorta, but collateral blood flow allowed for successful aneurysm repair.
- Using a quadrifurcated graft enabled effective repair without the need for distal anastomoses, highlighting a viable surgical strategy in such complex cases.
Article Abstract
Background: The coexistence of Leriche syndrome and thoracoabdominal aortic aneurysm is rare and challenging for surgeons especially if there are no distal anastomosis sites.
Case Report: A 56-year-old man with past medical histories of coronary artery bypass grafting and total arch replacement was planned to the surgery for thoracoabdominal aneurysm. His abdominal aorta was occluded just below the renal arteries and his terminal aorta, iliac and femoral arteries were hypoplastic. Right internal thoracic artery and visceral arteries provided collateral blood supply to the legs. The aneurysm was successfully repaired using a quadrifurcated graft without distal anastomoses.
Conclusion: A quadrifurcated graft can be a therapeutic option for repair of thoracoabdominal aneurysm accompanied by Leriche syndrome without distal anastomosis sites.
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| http://dx.doi.org/10.1111/jocs.14907 | DOI Listing |
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