Tratamento de aneurismas da parte torácica da aorta pela introdu？？o de "stents" sob vis？o endoscópica

this is a case report of a patient with two saccular aneurysms in the thoracic descending aorta. treatment consisted of the positioning, through an opening in the aortic arch under deep hipothermia and total circulatory arrest, of two auto expandable stents, guided an olympus endoscope. the bloodless field made possible the identification of the main thoracic and abdominal aortic branches facilitating the positioning and expansion of both stents. immediate postoperative recovery was excellent. this is a previously unreported way of placing stents and could open a new perspective in the treatment of thoraco, abdominal and thoracic abdominal aortic aneurysms.