African Annals of
Thoracic and Cardiovascular Surgery

OFFICIAL PUBLICATION OF THE AFRICAN ASSOCIATION OF THORACIC AND CARDIO-VASCULAR SURGEONS
  • Abbreviation: Afr. Ann. Thorac. Cardiovasc. Surg.
  • Language: English
  • ISSN: 1994-7461
  • DOI: 10.5897/AATCVS
  • Start Year: 2005
  • Published Articles: 82

Case Report

Open thoracoabdominal aortic replacement in a low-resource setting

Omondi Sadia
  • Omondi Sadia
  • Department of Surgery, School of Medicine, University of Nairobi, Nairobi, Kenya
  • Google Scholar
Khalif Hussein
  • Khalif Hussein
  • Department of Surgery, School of Medicine, University of Nairobi, Nairobi, Kenya
  • Google Scholar
Kinyua
  • Kinyua
  • Coast General Hospital, Mombasa, Kenya
  • Google Scholar
Jason Faulds
  • Jason Faulds
  • Department of Surgery, University of British Columbia, Endowment Lands, Canada
  • Google Scholar


  •  Received: 03 June 2025
  •  Accepted: 06 November 2025
  •  Published: 30 November 2025

Abstract

Thoracoabdominal aortic aneurysms present a unique challenge to cardiovascular surgery and anesthesia teams. Techniques to manage extensive blood loss, end-organ ischemia, and prevent spinal cord ischemia have been well described but may not be available in all hospitals. Centralization of thoracoabdominal aortic surgery is a well-accepted and recommended practice; however, it may not be feasible in all regions. This report presents the case of a patient with a 15 cm diameter extent III thoracoabdominal aortic aneurysm and describes the novel techniques used to manage this complex surgery in a low-resource setting.
 
Key words: Thoracoabdominal aneurysm, aneurysm repair, surgery.