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Case Reports
. 2021 Mar 30;9(5):e04087.
doi: 10.1002/ccr3.4087. eCollection 2021 May.

Dual aortic aneurysms with coronary artery and multiple cerebrovascular stenoses

Masafumi Hashimoto  1 , Kenji Mogi  1 , Manabu Sakurai  1 , Kengo Tani  1 , Shuntaro Ito  1 , Yoshiharu Takahara  1
Affiliations
Case Reports

Dual aortic aneurysms with coronary artery and multiple cerebrovascular stenoses

Masafumi Hashimoto et al. Clin Case Rep. .

Abstract

Total debranching thoracic endovascular aortic repair is useful for avoiding neurological complications in cases where cardiopulmonary bypass is difficult and for devising an intraoperative cervical branch reconstruction method.

Keywords: abdominal aortic aneurysm; cardiopulmonary bypass; thoracic aortic aneurysm.

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Conflict of interest statement

The authors certify that there are no conflicts of interest to disclose.

Figures

FIGURE 1
FIGURE 1
A CT angiogram reveals a saccular TAA (70 mm) (A) and an infrarenal AAA (65 mm) (B). The postoperative CT angiogram shows total debranching thoracic endovascular aortic repair of the TAA (C) and endovascular aortic repair of the AAA (D), excluding the aortic aneurysm. The patency of the great SVG is also confirmed (C). AAA, abdominal aortic aneurysm; CT, computed tomography; SVG, saphenous vein graft; TAA, thoracic aortic aneurysm
FIGURE 2
FIGURE 2
Brain magnetic resonance imaging revealed multiple stenosis of the cerebral arteries, mainly in the bilateral internal carotid artery siphon site (arrow)
FIGURE 3
FIGURE 3
Cardiac catheterization revealed coronary artery stenosis. LAD #7, #8, and #9:75%, 75%, and 90%, respectively. LCX: 90% RCA: 4PD: 75%. LAD, left anterior descending artery; LCX, left circumflex artery; 4PD, posterior descending artery; RCA, right coronary artery
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