The development of aneurysms of thoracoabdominal aorta (TAAA) in a post-transplant patient is a rare clinical situation and requires special attention. Endovascular treatment is the most suitable option for these patients due to numerous comorbidities. Particular emphasis should be placed on the ejection fraction as one of the main criteria for qualifying for surgery. The treatment itself remains a major challenge relating to anatomical constrains; however, it is possible in select patients in experienced centers.
SadatUHuguetELVartyK. Abdominal aortic aneurysm surgery in renal, cardiac and hepatic transplant recipients. Eur J Vasc Endovasc Surg. 2010;40(4):443-449. doi:10.1016/j.ejvs.2010.07.008.
2.
CrawfordESDeNataleRW. Thoracoabdominal aortic aneurysm: Observations regarding the natural course of the disease. J Vasc Surg. 1986;3(4):578-582. doi:10.1016/0741-5214(86)90281-8.
3.
De BakeyMECrawfordESCooleyDAMorrisGC. Surgical considerations of occlusive disease of the abdominal aorta and iliac and femoral arteries: Analysis of 803 cases. Ann Surg. 1958;148(3):306-324.
4.
KasprzakPMGallisKCucuruzBPfisterKJanottaMKoppR. Editor’s choice – temporary aneurysm sac perfusion as an adjunct for prevention of spinal cord ischemia after branched endovascular repair of thoracoabdominal aneurysms. Eur J Vasc Endovasc Surg. 2014;48(3):258-265. doi:10.1016/j.ejvs.2014.05.020.
5.
EnglesbeMJWuAHClowesAWZierlerRE. The prevalence and natural history of aortic aneurysms in heart and abdominal organ transplant patients. J Vasc Surg. 2003;37(1):27-31. doi:10.1067/mva.2003.57.
6.
MulukSCSteedDLMakarounMS, et al. Aortic aneurysm in heart transplant recipients. J Vasc Surg. 1995;22(6):689-696. doi:10.1016/S0741-5214(95)70059-5.
7.
GianfagnaFVeronesiGBertùL, et al. Prevalence of abdominal aortic aneurysms and its relation with cardiovascular risk stratification: Protocol of the risk of cardiovascular diseases and abdominal aortic aneurysm in varese (RoCAV) population based study. BMC Cardiovasc Disord. 2016;16:243. doi:10.1186/s12872-016-0420-2.
BullDANeumayerLAVenerusBJ, et al. The effects of improved hemodynamics on aortic dimensions in patients undergoing heart transplantation. J Vasc Surg. 1994;20(4):539-545. doi:10.1016/0741-5214(94)90278-X.
10.
GolledgeJNormanPEMurphyMPDalmanRL. Challenges and opportunities in limiting abdominal aortic aneurysm growth. J Vasc Surg. 2017;65(1):225-233. doi:10.1016/j.jvs.2016.08.003.
11.
UlugPPowellJTMartinezMA-MBallardDJFilardoG. Surgery for small asymptomatic abdominal aortic aneurysms. Cochrane Database Syst Rev. 2020;2020(7):CD001835. doi:10.1002/14651858.CD001835.pub5.
12.
ChaikofELDalmanRLEskandariMK, et al. The society for vascular surgery practice guidelines on the care of patients with an abdominal aortic aneurysm. J Vasc Surg. 2018;67(1):2-77.e2. doi:10.1016/j.jvs.2017.10.044.
ReillyJMSavageEBBrophyCMTilsonMD. Hydrocortisone rapidly induces aortic rupture in a genetically susceptible mouse. Arch Surg. 1990;125(6):707-709. doi:10.1001/archsurg.1990.01410180025004.
15.
LindholtJSHeickendorffLAntonsenSFastingHHennebergEW. Natural history of abdominal aortic aneurysm with and without coexisting chronic obstructive pulmonary disease. J Vasc Surg. 1998;28(2):226-233. doi:10.1016/S0741-5214(98)70158-2.
16.
OikonomouKKoppRKatsargyrisAPfisterKVerhoevenELKasprzakP. Outcomes of fenestrated/branched endografting in post-dissection thoracoabdominal aortic aneurysms. Eur J Vasc Endovasc Surg. 2014;48(6):641-648. doi:10.1016/j.ejvs.2014.07.005.
17.
MathierMAMcNamaraDM. Management of the patient after heart transplant. Curr Treat Options Cardio Med. 2004;6(6):459-469. doi:10.1007/s11936-004-0003-x.
