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Case-report: endovascular treatment of aortic pseudo-aneurysm caused by Fishbone.

Wang W, Liu X, Lu M - J Cardiothorac Surg (2015)

Bottom Line: Because of its relative rarity, we are far from making any conclusion regarding the natural history and appropriate therapeutic strategy for this condition.After treatment, the therapeutic effect was assessed by measuring the size of trauma.The patient recovered well after stent grafts treatment, as her trauma was minimal.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiology, the First Affiliated Hospital of Guangzhou Medical University, No.151 Yanjiang West Road, Guangzhou, 510120, China. wangwei20148@126.com.

ABSTRACT
Aortic pseudo-aneurysm (APA) is a rare disease in clinic. Because of its relative rarity, we are far from making any conclusion regarding the natural history and appropriate therapeutic strategy for this condition. This study is to investigate the treatment effect of interventional therapy in aortic pseudo-aneurysm. A woman of 68 years old diagnosed with APA caused by fishbone was treated with stent grafts. After treatment, the therapeutic effect was assessed by measuring the size of trauma. The patient recovered well after stent grafts treatment, as her trauma was minimal. However, some complications of intravascular interventional treatment were observed. Compared with conventional surgery, interventional therapy of intravascular stent grafts has its merits. Therefore, this strategy was worthy to apply in the treatment of aortic pseudo-aneurysm.

No MeSH data available.


Related in: MedlinePlus

The determination of treatment effect by comparing. a. DSA angiography before intravascular graft exclusion for thoracic aortic pseudoaneurysm (Left) and angiography after operation (Right); b. Reexamination by Chest CT 6 days after operation
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Fig3: The determination of treatment effect by comparing. a. DSA angiography before intravascular graft exclusion for thoracic aortic pseudoaneurysm (Left) and angiography after operation (Right); b. Reexamination by Chest CT 6 days after operation

Mentions: After multi-level diagnosis, it was likely that the aortic arch was injured by mistaken swallowed fishbone, and thus pseudoaneurysm was taking shape after fishbone penetrating esophagus and migrating into respiratory tract. We planed to block the channel between aorta and pseudoaneurysm with stent grafts so as to make a thrombotic tumor body that can be gradually organized and absorbed. On 5th, August, the patient received intravascular graft exclusion for thoracic aortic pseudoaneurysm: with general anesthesia, left radial artery was punctured with Seldinger's method. 6 F arterial sheath was implanted and Heparin (3000u) was injected into sheath; and then 5 F pigtail catheter was put into for aortography, showing sign of aortic arch pseudoaneurysm. The right inguinal region was cut layer by layer to expose the right femoral artery, and Amplatz Ultra Stiff Wire was put in; and then VALIANT THORACIC (30x200) was put in along Wire and then released to cover laceration. Aortography was carried out again, showing almost disappearance of pseudoaneurysm without leakage. Femoral artery and the incision were sutured layer by layer before covering wound with gauze (Fig. 3a). The operation was successful, and the patient had small amount of bloody sputum and low fever after operation. The therapy of controlling heart rate & blood pressure, anti-inflammation and hemostasis was followed up with gradual decrease of cough and bloody sputum. The body temperature was normal on the third day, and the pain in back and chest were gradually alleviated.Fig. 3


Case-report: endovascular treatment of aortic pseudo-aneurysm caused by Fishbone.

Wang W, Liu X, Lu M - J Cardiothorac Surg (2015)

The determination of treatment effect by comparing. a. DSA angiography before intravascular graft exclusion for thoracic aortic pseudoaneurysm (Left) and angiography after operation (Right); b. Reexamination by Chest CT 6 days after operation
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4494703&req=5

Fig3: The determination of treatment effect by comparing. a. DSA angiography before intravascular graft exclusion for thoracic aortic pseudoaneurysm (Left) and angiography after operation (Right); b. Reexamination by Chest CT 6 days after operation
Mentions: After multi-level diagnosis, it was likely that the aortic arch was injured by mistaken swallowed fishbone, and thus pseudoaneurysm was taking shape after fishbone penetrating esophagus and migrating into respiratory tract. We planed to block the channel between aorta and pseudoaneurysm with stent grafts so as to make a thrombotic tumor body that can be gradually organized and absorbed. On 5th, August, the patient received intravascular graft exclusion for thoracic aortic pseudoaneurysm: with general anesthesia, left radial artery was punctured with Seldinger's method. 6 F arterial sheath was implanted and Heparin (3000u) was injected into sheath; and then 5 F pigtail catheter was put into for aortography, showing sign of aortic arch pseudoaneurysm. The right inguinal region was cut layer by layer to expose the right femoral artery, and Amplatz Ultra Stiff Wire was put in; and then VALIANT THORACIC (30x200) was put in along Wire and then released to cover laceration. Aortography was carried out again, showing almost disappearance of pseudoaneurysm without leakage. Femoral artery and the incision were sutured layer by layer before covering wound with gauze (Fig. 3a). The operation was successful, and the patient had small amount of bloody sputum and low fever after operation. The therapy of controlling heart rate & blood pressure, anti-inflammation and hemostasis was followed up with gradual decrease of cough and bloody sputum. The body temperature was normal on the third day, and the pain in back and chest were gradually alleviated.Fig. 3

Bottom Line: Because of its relative rarity, we are far from making any conclusion regarding the natural history and appropriate therapeutic strategy for this condition.After treatment, the therapeutic effect was assessed by measuring the size of trauma.The patient recovered well after stent grafts treatment, as her trauma was minimal.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiology, the First Affiliated Hospital of Guangzhou Medical University, No.151 Yanjiang West Road, Guangzhou, 510120, China. wangwei20148@126.com.

ABSTRACT
Aortic pseudo-aneurysm (APA) is a rare disease in clinic. Because of its relative rarity, we are far from making any conclusion regarding the natural history and appropriate therapeutic strategy for this condition. This study is to investigate the treatment effect of interventional therapy in aortic pseudo-aneurysm. A woman of 68 years old diagnosed with APA caused by fishbone was treated with stent grafts. After treatment, the therapeutic effect was assessed by measuring the size of trauma. The patient recovered well after stent grafts treatment, as her trauma was minimal. However, some complications of intravascular interventional treatment were observed. Compared with conventional surgery, interventional therapy of intravascular stent grafts has its merits. Therefore, this strategy was worthy to apply in the treatment of aortic pseudo-aneurysm.

No MeSH data available.


Related in: MedlinePlus