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Chirurgia 2012 August;25(4):283-6

Copyright © 2012 EDIZIONI MINERVA MEDICA

language: English

Thoracic endovascular aortic repair with the balloon occlusion technique of visceral arteries for shaggy aorta

Kiuchi R. 1, Ohtake H. 1, Nishida Y. 1, Sanada J. 2, Matsui O. 2, Watanabe G. 1

1 Department of General and Cardiothoracic Surgery, Kanazawa University, Kanazawa, Japan; 2 Department of Radiology, Kanazawa University, Kanazawa, Japan


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An 81-year-old man with a thoracic aortic aneurysm, 55 mm in diameter, was admitted to our hospital for endovascular repair. Preoperative computed tomography showed a massive mural thrombus in the descending thoracic and abdominal aorta. We expected to prevent distal embolization by safely deploying the stent-grafts by using occlusion balloons. During the deployment of the stent-graft, the superior mesenteric artery and bilateral renal arteries were occluded by a balloon catheter. Neither procedure-related distal embolic events nor neurological deficits were observed. The balloon occlusion technique to prevent distal embolism during thoracic endovascular aortic repair was feasible and effective for patients with shaggy aorta.

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