Thoracoabdominal aortic aneurysm combined with aortic occlusion

The case of a 73-year-old woman with aneurysms of the thoracoabdominal aort a and distal arch, combined with aortic occlusion, is reported. Cannulation from the femoral artery was not possible because of the aortic occlusion. Blood supply to the abdominal viscera and lower extremities was achieved on ly by selective perfusion from the celiac artery, superior mesenteric arter y, and bilateral renal arteries. A unique choice of selective perfusion for distal circulatory support is described. (C) 2000 by The Society of Thorac ic Surgeons.