Crushing of a bridging stent during follow-up of endovascular branched aortic arch repair: A novel mode of failure.
| Autor: | Dijkstra ML; Vascular Center, Department of Thoracic and Vascular Diseases, Skåne University hospital, Malmö, Sweden.; Department of Surgery, Division of Vascular Surgery, University Medical Center Groningen, Groningen, the Netherlands., Karelis A; Vascular Center, Department of Thoracic and Vascular Diseases, Skåne University hospital, Malmö, Sweden., Sonesson B; Vascular Center, Department of Thoracic and Vascular Diseases, Skåne University hospital, Malmö, Sweden., Vaccarino R; Vascular Center, Department of Thoracic and Vascular Diseases, Skåne University hospital, Malmö, Sweden., Dias NV; Vascular Center, Department of Thoracic and Vascular Diseases, Skåne University hospital, Malmö, Sweden. |
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| Jazyk: | angličtina |
| Zdroj: | Journal of vascular surgery cases and innovative techniques [J Vasc Surg Cases Innov Tech] 2022 Aug 07; Vol. 8 (4), pp. 646-650. Date of Electronic Publication: 2022 Aug 07 (Print Publication: 2022). |
| DOI: | 10.1016/j.jvscit.2022.07.013 |
| Abstrakt: | A 68-year-old man developed aneurysmal degeneration of the aortic arch and proximal descending aorta after an open ascending graft for a type A aortic dissection. A three-branched endovascular aortic arch repair was performed with patency of all branches despite some degree of initial misalignment of the branches in relation to the target vessels. At 6 months postoperatively, an asymptomatic partial crushing of the left common carotid bridging grafts was observed on computed tomography angiography. This was treated by reinforcing the branch with a balloon-expandable endograft. The postoperative course was uneventful but a computed tomography angiography after 1 month showed recurrent asymptomatic compression. A left carotid-subclavian bypass was eventually performed. We have reported a new failure mode of an inner branch arch repair of residual type A chronic dissection. (© 2022 The Author(s).) |
| Databáze: | MEDLINE |
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