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  • Title
  • 1. Introduction
  • 2. Positioning
  • 3. Posterolateral Thoracotomy
  • 4. Left Medial Visceral Rotation
  • 5. Mobilization of Infrarenal Aorta
  • 6. Atrio-Femoral Bypass
  • 7. Prox. Descending Aortic Anastomosis
  • 8. Aortic Exposure
  • 9. Visceral Ischemia Time

Thoracoabdominal Aortic Aneurysm Repair - Part 1


Andrew Del Re1; Jahan Mohebali, MD, MPH2; Virendra I. Patel, MD, MPH2
1The Warren Alpert Medical School of Brown University
2Massachusetts General Hospital

Main Text


Thoracoabdominal aortic aneurysms (TAAAs) are generally asymptomatic and are discovered incidentally on chest imaging. When they become symptomatic, these aneurysms manifest as abdominal pain related to ischemia of branches of the aorta. When they are identified, management is often expectant, depending on the size of the aneurysm and its rate of growth. Surgery is indicated for larger aneurysms and those that expand rapidly so as to avoid catastrophic rupture of the aneurysm. Here, we present the case of a 70-year-old woman with a TAAA whom we had been following with serial computed tomographic angiography scans. The decision to operate was made when the aneurysm began revealing growth in diameter. Her anatomy was not conducive to endovascular treatment; therefore, we repaired her aneurysm using a traditional open approach.

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Filmed At:

Massachusetts General Hospital

Article Information

Publication Date
Article ID109A
Production ID0109.1