Background: Treatment of thoraco-abdominal aneurysms is still a challenge to surgeons. High mortality and
the risk of neurological morbidity are factors that state for serious prognosis.
Case Report: We present a case of a successful treatment of a symptomatic expanding thoraco-abdominal
aneurysm. The patient had previously been treated surgically for an abdominal part of aortic aneurysm (aorto-aortal prosthesis), and had a stent-graft placed in thoracic section of aortic aneurysm. Our procedure was revascularization of renal arteries, superior mesenteric artery and celiac trunk arteries and exclusion of the aneurysmal sac from circulation by placement of a stent-graft into the aneurysm in suprarenal location. Postoperative course was uneventful.
Conclusions: Summing traditional surgical methods with novel endovascular techniques broadens spectrum
of possible treatment giving chance to those patients could not be previously treated.

Keywords: Thoraco-abdominal aneurysm, endovascular treatment, splanchnic revascularization