AneuRx stent-graft failure four years after TAA exclusion.
| Autor: | Schepens MA; Department of Cardiothoracic Surgery, St. Antonius Hospital, Nieuwegein, The Netherlands. m.schepens@antonius.net, van den Berg JC, Moll FL, Dossche KM, Heijmen RH |
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| Jazyk: | angličtina |
| Zdroj: | Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists [J Endovasc Ther] 2004 Feb; Vol. 11 (1), pp. 49-52. |
| DOI: | 10.1177/152660280401100106 |
| Abstrakt: | Purpose: To present a case of graft material disruption 4 years after thoracic aortic aneurysm (TAA) exclusion with the AneuRx stent-graft. Case Report: In 1999, a 62-year-old man underwent successful exclusion of a descending 98-mm TAA with 2 AneuRx stent-grafts. A type I distal endoleak was diagnosed 1 month later, and a distal extension cuff was placed just proximal to the celiac trunk. One year later, a new endoleak was discovered (presumed to be type II); the patient refused proposed thrombin injection to seal the leak. The diameter of the aneurysm enlarged gradually, and in 2003, he presented with a ruptured TAA and a massive left-sided hemathorax. The patient underwent urgent open surgical repair using extracorporeal circulation; the 3 stent-grafts were removed. Unfortunately, the patient died from cardiac failure 2 days later. Macroscopic examination showed several disruptions of the graft fabric and a stent fracture, which presumably explains the endoleak and rupture. Conclusions: This case reaffirms the necessity of long-term stent-graft surveillance. |
| Databáze: | MEDLINE |
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