Prevention of Embolization in Concomitant Endovascular Therapy for Thoracic and Abdominal Aneurysms with Severely Atheromatous Aorta

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  • Takano Tomohiro
    Department of Cardiovascular Surgery, Fukushima Medical University Hospital, Fukushima, Fukushima, Japan
  • Takase Shinya
    Department of Cardiovascular Surgery, Fukushima Medical University Hospital, Fukushima, Fukushima, Japan
  • Kagoshima Akihito
    Department of Cardiovascular Surgery, Fukushima Medical University Hospital, Fukushima, Fukushima, Japan
  • Yokoyama Hitoshi
    Department of Cardiovascular Surgery, Fukushima Medical University Hospital, Fukushima, Fukushima, Japan

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<p>A 74-year-old man with multiple aortic aneurysms and shaggy aorta was simultaneously treated by conventional open repair for an abdominal aortic aneurysm and endoluminal stent grafting for a thoracic aortic aneurysm. We performed intermittent clamping of the visceral and carotid arteries under an extracorporeal circulation circuit without a blood flow pump, which lead to the avoidance of embolization in spite of the disadvantage of endoluminal stent grafting for atheromatous aorta.</p>

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