Abstract
We present a case of a patient with Crawford type IV aortic thoracoabdominal aneurysm. The patient underwent hybrid repair in two stages. Initially a Dacron(r) graft was implanted surgically with revascularization of all visceral branches from the left external iliac artery (debranching). On a later date, the second stage of treatment was with an endovascular technique with bi aorto-iliac endoprosthesis. After 2 years the patient remains asymptomatic and in full working activity.
Highlights
There is still no consensus on the best form of surgery for Crawford type IV aortic aneurysms (AA), whether open surgery, endovascular treatment or a hybrid technique.[1,2,3,4,5] In 1999, QuiñonesBaldrich et al.[6] described the first case of treatment of type IV AA in a combination approach using both conventional surgery and endovascular surgery, during the same operation
We describe the case of a patient with Crawford type IV AA treated using a hybrid technique in two separate operations
A Dacron graft was placed in the left external iliac and revascularization of the visceral branches accomplished
Summary
Two-stage hybrid open-endovascular repair of a Crawford type IV aortic aneurysm: therapeutic challenge. Abdo Farret Neto[1,2], Liana Berucia Freire de Oliveira[2], Guilherme Tarso de Andrade Alves[2], George Anderson da Penha Andrade[2], Eduardo Dantas Baptista de Faria[1,2]
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