Abstract

IntroductionTotal thoracic–abdominal aortic aneurysm is a rare disease in cardiovascular surgery, with high surgical risk and high mortality. Surgery is considered the most effective treatment for total aortic aneurysms.Case presentationOur group admitted a 60-year-old female patients with asymptomatic complex total thoracic–abdominal aortic aneurysm, and successfully performed two-staged surgery, namely Bentall + Sun’s operation in the first-stage and thoracoabdominal aortic replacement in the second-stage. The results of the surgery were satisfactory.ConclusionsPatients with total thoracic–abdominal aortic aneurysm may not have typical clinical symptoms and require a careful and comprehensive physical examination and related auxiliary examinations by clinicians. Staged repair of total thoracic–abdominal aortic aneurysms is still a safe and effective treatment.

Highlights

  • Total thoracic–abdominal aortic aneurysm is a rare disease in cardiovascular surgery, with high surgical risk and high mortality

  • Total thoracic–abdominal aortic aneurysm refers to aortic aneurysm lesions that span the diaphragm and involve the thoracic and abdominal aorta

  • The postoperative Computed tomography (CT) scan revealed that the thoracic–abdominal aortic aneurysm was completely treated with satisfactory results (Fig. 3B)

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Summary

Conclusions

Patients with total thoracic–abdominal aortic aneurysm may not have typical clinical symptoms, and clinicians need a comprehensive and detailed physical examination and targeted auxiliary examinations.

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