Open repair of a thoracoabdominal aortic aneurysm using hypothermic cardiopulmonary bypass and circulatory arrest

A 78-year-old female presented with recent onset of interscapular chest pain. She was a smoker and had previously undergone coronary artery stenting. Left ventricular function was normal. A computed tomography (CT) angiogram showed aneurysmal degeneration of the distal descending thoracic and the entire abdominal aorta. There were high-grade stenoses at the origins of the celiac, superior mesenteric, and both renal arteries. This was classified as a Crawford extent III thoracoabdominal aortic aneurysm.