A Case Report of Thoracoabdominal Aortic Aneurysm, with Occlusion of Celiac Artery Due to Mural Thrombus Formation / 日本心臓血管外科学会雑誌

ABSTRACT

Patient is a 58-year-old man who had a thoracoabdominal aortic aneurysm with abdominal angina due to the occlusion of celiac artery with mural thrombus in the aneurysm. He had a recurring abdominal pain for half a year, and relapsing elevation of serum transaminase levels. Graft displacement was performed, followed by reattachment of visceral vessels, celiac artery and superior mesenteric artery, using partial extracorporeal circulation. Abdominal angina due to thoracoabdominal aortic aneurysm has been seldom reported. It has been said that complete revascularization is not required as surgical therapy, and single vessel revascularization is sufficient to reduce symptoms. Preoperative angiography will reveal which vessels supply dominant blood flow to visceral organs, therefore, angiographic examination should be performed essentially prior to surgery.