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Acute thrombotic occlusion of left internal jugular vein compressed by bypass graft for thoracic endovascular aortic repair debranching procedure.

Sim HT, Beom MS, Kim SR, Ryu SW - Korean J Thorac Cardiovasc Surg (2014)

Bottom Line: Thoracic endovascular aortic repair has become a widespread alternative treatment option for thoracic aortic aneurysm.The debranching of arch vessels may be required to provide an acceptable landing zone for an endovascular stent graft.We report a case where the bypass graft used in the thoracic endovascular aortic repair procedure compressed the left internal jugular vein, causing acute thrombotic occlusion.

View Article: PubMed Central - PubMed

Affiliation: Department of Thoracic and Cardiovascular Surgery, Saint Carollo General Hospital.

ABSTRACT
Thoracic endovascular aortic repair has become a widespread alternative treatment option for thoracic aortic aneurysm. The debranching of arch vessels may be required to provide an acceptable landing zone for an endovascular stent graft. We report a case where the bypass graft used in the thoracic endovascular aortic repair procedure compressed the left internal jugular vein, causing acute thrombotic occlusion.

No MeSH data available.


Related in: MedlinePlus

On a preoperative whole body computed tomography scan, a ruptured thoracic aortic aneurysm was suspected, and the maximal diameter of the thoracic aorta was 65 mm.
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f1-kjtcvs-47-552: On a preoperative whole body computed tomography scan, a ruptured thoracic aortic aneurysm was suspected, and the maximal diameter of the thoracic aorta was 65 mm.

Mentions: A 64-year-old man visited the emergency room for abrupt-onset chest pain. He had undergone a closed thoracostomy for left hemothorax in another local clinic. Whole body computed tomography imaging indicated a possible ruptured thoracic aortic aneurysm; the maximal diameter of the thoracic aorta was 65 mm (Fig. 1). The patient underwent an urgent thoracic endovascular aortic repair procedure the next day. Since the proximal landing zone of the stent graft was estimated to be between the innominate artery and the left common carotid artery (zone I), he concomitantly underwent the debranching of the arch vessels. All procedures were performed in the operating room. The extrathoracic exposure of the arch vessels was performed via two small supraclavicular incisions. The debranching of the arch vessels was done by bypassing the left common carotid artery and the left subclavian artery to the right common carotid artery using a single 8 mm vascular graft (InterGard Woven; InterVascular, La Ciotat, France). The course of the graft crossed above the trachea and above the left internal jugular vein. The thoracic endovascular aortic repair procedure was carried out using a SEAL thoracic aortic stent (SEAL Thoracic 38/34×180 mm; S&G Biotech Inc., Seongnam, Korea) via both femoral arteries. All procedures were uneventful. The patient underwent perioperative cerebrospinal fluid drainage to prevent paraplegia.


Acute thrombotic occlusion of left internal jugular vein compressed by bypass graft for thoracic endovascular aortic repair debranching procedure.

Sim HT, Beom MS, Kim SR, Ryu SW - Korean J Thorac Cardiovasc Surg (2014)

On a preoperative whole body computed tomography scan, a ruptured thoracic aortic aneurysm was suspected, and the maximal diameter of the thoracic aorta was 65 mm.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4279840&req=5

f1-kjtcvs-47-552: On a preoperative whole body computed tomography scan, a ruptured thoracic aortic aneurysm was suspected, and the maximal diameter of the thoracic aorta was 65 mm.
Mentions: A 64-year-old man visited the emergency room for abrupt-onset chest pain. He had undergone a closed thoracostomy for left hemothorax in another local clinic. Whole body computed tomography imaging indicated a possible ruptured thoracic aortic aneurysm; the maximal diameter of the thoracic aorta was 65 mm (Fig. 1). The patient underwent an urgent thoracic endovascular aortic repair procedure the next day. Since the proximal landing zone of the stent graft was estimated to be between the innominate artery and the left common carotid artery (zone I), he concomitantly underwent the debranching of the arch vessels. All procedures were performed in the operating room. The extrathoracic exposure of the arch vessels was performed via two small supraclavicular incisions. The debranching of the arch vessels was done by bypassing the left common carotid artery and the left subclavian artery to the right common carotid artery using a single 8 mm vascular graft (InterGard Woven; InterVascular, La Ciotat, France). The course of the graft crossed above the trachea and above the left internal jugular vein. The thoracic endovascular aortic repair procedure was carried out using a SEAL thoracic aortic stent (SEAL Thoracic 38/34×180 mm; S&G Biotech Inc., Seongnam, Korea) via both femoral arteries. All procedures were uneventful. The patient underwent perioperative cerebrospinal fluid drainage to prevent paraplegia.

Bottom Line: Thoracic endovascular aortic repair has become a widespread alternative treatment option for thoracic aortic aneurysm.The debranching of arch vessels may be required to provide an acceptable landing zone for an endovascular stent graft.We report a case where the bypass graft used in the thoracic endovascular aortic repair procedure compressed the left internal jugular vein, causing acute thrombotic occlusion.

View Article: PubMed Central - PubMed

Affiliation: Department of Thoracic and Cardiovascular Surgery, Saint Carollo General Hospital.

ABSTRACT
Thoracic endovascular aortic repair has become a widespread alternative treatment option for thoracic aortic aneurysm. The debranching of arch vessels may be required to provide an acceptable landing zone for an endovascular stent graft. We report a case where the bypass graft used in the thoracic endovascular aortic repair procedure compressed the left internal jugular vein, causing acute thrombotic occlusion.

No MeSH data available.


Related in: MedlinePlus