Thoracoabdominal aneurysm repair using a four-branched thoracoabdominal graft: a case seriesReportar como inadecuado

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Cases Journal

, 2:7144

First Online: 17 July 2009Received: 08 April 2009Accepted: 19 June 2009DOI: 10.4076-1757-1626-2-7144

Cite this article as: Kokotsakis, J., Lazopoulos, G., Ashrafian, H. et al. Cases Journal 2009 2: 7144. doi:10.4076-1757-1626-2-7144


Revascularization of the visceral arteries during thoracoabdominal aneurysm repair is usually performed sequentially by an anastomosis between a prosthetic graft and an aortic patch. There are immediate operative risks such as bleeding and distortion. In the longer term, aneurysm, pseudo-aneurysm and rupture may occur. These require reoperation and are associated with significant morbidity and mortality.

We present our experience with Crawford IV thoracoabdominal aneurysm repair in four patients, using a prefabricated four-branched graft Coselli graft. At two years there were no deaths, no complications and no vessel abnormalities on computed tomography. We recommend its use as the graft of choice in young patients with an aortic tissue disorder requiring total resection of the aortic wall at the level of the visceral vessels.

AbbreviationsCADcoronary artery disease

CABGcoronary artery bypass grafting

COPDchronic obstructive pulmonary disease

CPBcardiopulmonary bypass

EFejection fraction


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Autor: John Kokotsakis - George Lazopoulos - Hutan Ashrafian - Panagiotis Misthos - Thanos Athanasiou - Achilleas Lioulias


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