CASE REPORT
Year : 2015  |  Volume : 2  |  Issue : 2  |  Page : 68-70

A Novel Approach for Synchronous Open and Endo-repair of Concomitant Mesenteric and TASC "D" Aorto-iliac Occlusive Disease with Symptomatic Thoraco-abdominal Aortic Aneurysm


Department of CVTS, Division of Vascular and Endovascular Surgery, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India

Correspondence Address:
Madathipat Unnikrishnan
Department of CVTS, Division of Vascular and Endovascular Surgery, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-0820.161945

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Aorto-iliac and mesenteric occlusive disease co-existing with thoraco-abdominal aortic aneurysm are a very rare clinical association, which poses a great therapeutic challenge and adds to the complexity of the open surgical repair. We describe a case of a 60-year-old male with symptomatic Crawford Type I thoraco-abdominal aneurysm with concomitant visceral and aorto-iliac occlusive disease successfully treated by aorto-bifemoral and mesenteric artery bypass followed by thoracic endovascular aneurysm repair. This novel technical approach turned out to be safe and effective strategy to tackle these co-existing tandem lesions, which minimized morbidity compared to stressful total open surgical repair, leading to excellent patient recovery.


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