TY - JOUR TI - Totally laparoscopic aortohepatic bypass for aortic debranching during endovascular thoracoabdominal aneurysm repair AU - Bakoyiannis, C. AU - Cagiannos, C. AU - Wasilljew, S. AU - Pinter, L. and AU - Kolvenbach, R. JO - European Journal of Vascular and Endovascular Surgery PY - 2007 VL - 34 TODO - 2 SP - 173-175 PB - W B SAUNDERS CO LTD SN - 1078-5884, 1532-2165 TODO - 10.1016/j.ejvs.2006.12.032 TODO - laparoscopic aorto-hepatic bypass; aortic debranching; EVAR TODO - 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. ER -