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December 1957

Thoracoabdominal Aneurysm Involving Celiac, Superior Mesenteric, and Renal Arteries: Report of a Case Successfully Treated by Resection and Nylon-Graft Replacement

Author Affiliations

From the Department of Surgery, Western Reserve University School of Medicine, and University Hospitals of Cleveland.

AMA Arch Surg. 1957;75(6):871-876. doi:10.1001/archsurg.1957.01280180003001

Aneurysm of the thoracoabdominal aorta involving the celiac, superior mesenteric, and both renal arteries is a relatively uncommon entity. Not until recently have surgical attempts at altering the grave prognosis of such lesions been made with real hope of success. A survey of the literature reveals five patients who have undergone successful resection of aneurysms of this extent.1,2 The present case is reported because it is believed to be the sixth documented instance of a patient surviving such a procedure and the first in which a nylon-graft replacement has been used.

Report of Case  This 41-year-old Negro man was admitted via the accident ward of University Hospitals on Jan. 5, 1957, with the chief complaint of severe lumbar back pain, which was constant, throbbing in nature, and came on suddenly during a bowel movement. He gave a history of recurrent episodes of lumbar backache of moderate severity, exaggerated by