Simultaneous treatment of thoracic and infrarenal aortic aneurysm using a combination of conventional surgery and endoluminal stent grafting

Introduction: Patients with multiple aortic aneurysms represent a small sub group with the need for extensive surgical treatment at considerable risk. Endovascular treatment in combination with conventional operation is possib le. We demonstrate a case with simultaneous exclusion of aneurysms of the d escending thoracic and the infrarenal aorta to outline the technical obliga tions. Conclusion: Simultaneous exclusion of a thoracic and an abdominal an eurysm can be performed successfully by conventional infrarenal aortic repl acement with bifurcated dacron prosthesis and endovascular implantation of a thoracic stent-graft within one operation.