Limits...
Delayed endovascular treatment of descending aorta stent graft collapse in a patient treated for post- traumatic aortic rupture: a case report.

Nano G, Mazzaccaro D, Malacrida G, Occhiuto MT, Stegher S, Tealdi DG - J Cardiothorac Surg (2011)

Bottom Line: At 18 months the graft was still patent.Graft collapse after TEVAR is a rare event, which should be detected and treated as soon as possible.Delayed correction of this complication can be lethal due to the risk of visceral ischemia and limbs loss.

View Article: PubMed Central - HTML - PubMed

Affiliation: University of Milan, Italy.

ABSTRACT

Background: We report a case of delayed endovascular correction of graft collapse occurred after emergent Thoracic Endovascular Aortic Repair (TEVAR) for traumatic aortic isthmus rupture.

Case presentation: In 7th post-operative day after emergent TEVAR for traumatic aortic isthmus rupture (Gore TAGĀ® 28-150), a partial collapse of the endoprosthesis at the descending tract occurred, with no signs of visceral ischemia. Considering patient's clinical conditions, the graft collapse wasn't treated at that time. When general conditions allowed reintervention, the patient refused any new treatment, so he was discharged.Four months later the patient complained of severe gluteal and sural claudication, erectile disfunction and abdominal angina; endovascular correction was performed. At 18 months the graft was still patent.

Discussion and conclusion: Graft collapse after TEVAR is a rare event, which should be detected and treated as soon as possible. Delayed correction of this complication can be lethal due to the risk of visceral ischemia and limbs loss.

Show MeSH

Related in: MedlinePlus

CT scan at 18 months. Regular diameter of the graft, normal renal perfusion, no signs of any endoleaks.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC3116469&req=5

Figure 6: CT scan at 18 months. Regular diameter of the graft, normal renal perfusion, no signs of any endoleaks.

Mentions: At the 18th month follow-up a CT scan showed regular diameter of the graft, normal renal perfusion, no signs of any endoleaks; the left subclavian artery remained patent at follow-up (Figure. 6). The patient returned to his previous daily activities; he didn't complain of claudication anymore and its erectile function had returned to normal.


Delayed endovascular treatment of descending aorta stent graft collapse in a patient treated for post- traumatic aortic rupture: a case report.

Nano G, Mazzaccaro D, Malacrida G, Occhiuto MT, Stegher S, Tealdi DG - J Cardiothorac Surg (2011)

CT scan at 18 months. Regular diameter of the graft, normal renal perfusion, no signs of any endoleaks.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3116469&req=5

Figure 6: CT scan at 18 months. Regular diameter of the graft, normal renal perfusion, no signs of any endoleaks.
Mentions: At the 18th month follow-up a CT scan showed regular diameter of the graft, normal renal perfusion, no signs of any endoleaks; the left subclavian artery remained patent at follow-up (Figure. 6). The patient returned to his previous daily activities; he didn't complain of claudication anymore and its erectile function had returned to normal.

Bottom Line: At 18 months the graft was still patent.Graft collapse after TEVAR is a rare event, which should be detected and treated as soon as possible.Delayed correction of this complication can be lethal due to the risk of visceral ischemia and limbs loss.

View Article: PubMed Central - HTML - PubMed

Affiliation: University of Milan, Italy.

ABSTRACT

Background: We report a case of delayed endovascular correction of graft collapse occurred after emergent Thoracic Endovascular Aortic Repair (TEVAR) for traumatic aortic isthmus rupture.

Case presentation: In 7th post-operative day after emergent TEVAR for traumatic aortic isthmus rupture (Gore TAGĀ® 28-150), a partial collapse of the endoprosthesis at the descending tract occurred, with no signs of visceral ischemia. Considering patient's clinical conditions, the graft collapse wasn't treated at that time. When general conditions allowed reintervention, the patient refused any new treatment, so he was discharged.Four months later the patient complained of severe gluteal and sural claudication, erectile disfunction and abdominal angina; endovascular correction was performed. At 18 months the graft was still patent.

Discussion and conclusion: Graft collapse after TEVAR is a rare event, which should be detected and treated as soon as possible. Delayed correction of this complication can be lethal due to the risk of visceral ischemia and limbs loss.

Show MeSH
Related in: MedlinePlus