@article{3117612, title = "Totally laparoscopic aortohepatic bypass for aortic debranching during endovascular thoracoabdominal aneurysm repair", author = "Bakoyiannis, C. and Cagiannos, C. and Wasilljew, S. and Pinter, L. and and Kolvenbach, R.", journal = "European Journal of Vascular and Endovascular Surgery", year = "2007", volume = "34", number = "2", pages = "173-175", publisher = "W B SAUNDERS CO LTD", issn = "1078-5884, 1532-2165", doi = "10.1016/j.ejvs.2006.12.032", keywords = "laparoscopic aorto-hepatic bypass; aortic debranching; EVAR", abstract = "Introduction. Endovascular grafting of the aorta is gaining widespread acceptance for treating aortic aneurysms. Pararenal aneurysms or thoraco-abdominal aneurysms may be a relative contra-indication for endovascular aneurysm repair (EVAR) unless visceral vessels can be debranched. Report. We describe a case of thoraco-abdominal aneurysm extending from the descending thoracic aorta to the level of coeliac artery. A totally laparoscopic retrograde aorto-hepatic bypass was performed in conjunction with endograff exclusion of the aneurysm and coverage of the coeliac artery ostium. Discussion. Laparoscopic debranching of visceral vessels extends the indications of EVAR." }