Abstract
Surgical intervention for thoracoabdominal aneurysm (TAA) is associated with a high rate of perioperative complications arising from visceral and/or distal hypoperfusion. Despite a variety of intraoperative strategies reported in the literature, – 4 there is a lack of an effective procedure that provides a quick method to maintain visceral perfusion during TAA repair, particularly in emergency cases. In this report, we present a patient with a ruptured type IV TAA, who had previously undergone infrarenal aortic repair in a different hospital and subsequently, because of a prosthetic infection, graft removal and axillobifemoral bypass. In this particular case, visceral and renal perfusion has been supported with a singular shunt realized simply during operation and inserted in axillobifemoral bypass.
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