Open thoracoadbominal aortic aneurysm (TAAA) treatment presents a high complication rate such as spinal cord ischemia. Surgical technique includes the temporary occlusion of intercostal arteries with a balloon. In rare cases, the arterial injury can lead to development of an intercostal artery aneurysms (ICAA), probably because of a thin artery wall and a too high insufflation pressure. The aim of this study was to report the case of a 78-year-old woman, who underwent an open type-II TAAA repair and developed an asymptomatic 11-mm ICAA. According to the diameter, we successfully treated the patient with platinum coils, obtaining the complete aneurysm exclusion and an uneventful recovery. © 2014 Elsevier Inc. All rights reserved.
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