Thoracoabdominal Aortic Aneurysm Repair: Surgical Approach

A 31-year-old woman from Kenya presented at Indraprastha Apollo Hospitals, New Delhi, with occasional back and abdominal pain and was diagnosed with Takayasu’s arteritis, a thoracoabdominal aortic aneurysm (TAAA), and anti-nuclear antibodies (ANA) positivity. Her condition, complicated by the use of immunosuppressants and anticoagulants, posed significant medical challenges, particularly the high risk of aortic rupture. A multidisciplinary team optimized her care, addressing both her autoimmune disease and medication needs. The complex surgical repair of her TAAA was performed using a unique technique developed by Dr. Niranjan Hiremath, with support from Dr. B N Das, showcasing the hospital’s expertise in managing high-risk aortic diseases. This case highlights the importance of innovative approaches and collaborative care in achieving successful outcomes for complex conditions.