Total Thrombosis of Bifurcated Endoprosthesis: A Rare Complication of Endovascular Treatment of Abdominal Aortic Aneurysm
| Autor: | Birama Togola, Skaiste Vaitkevicienne, Madiassa Konaté, Mahamadou Coulibaly, Nouhoum Ongoïba, Olivier Szymoniak, Michel Peret, Drissa Traoré, Laurent Muller, Bréhima Bengaly, Jean Louis Debrux, Bréhima Coulibaly |
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| Rok vydání: | 2019 |
| Předmět: | |
| Zdroj: | Surgical Science. 10:338-345 |
| ISSN: | 2157-9415 2157-9407 |
| DOI: | 10.4236/ss.2019.109037 |
| Popis: | Background: Aortic stents are a therapeutic alternative to open surgery of abdominal aortic aneurysms. We report a case of treatment of an abdominal aortic aneurysm with a bifurcated stent, complicated by total thrombosis. Aim: The purpose of this presentation was to understand the causes, mechanisms, incidents and accidents that contributed to this complication. Case Presentation: A 48-year-old man patient with a history of high blood pressure, ischemic heart disease, chronic obstructive pulmonary disease, who was found during a surveillance check-up, an infra-renal abdominal aorta aneurysm measured at 56 mm in diameter, asymptomatic but progressive. The indication of an endovascular treatment by the placement of a bifurcated prosthesis was posed and accepted. Thrombosis of the two limbs was intra-operative, upper-end migration without endoleak at 4 months postoperative, total thrombosis of the stent at 13 months postoperatively. Explantation of the stent followed by aortobi-iliac bypass was finally performed in the 15th month. Conclusion: The cardiopulmonary antecedents, the anatomical and evolutionary characteristics of the aneurysm could have played a role in the occurrence of the complications observed in this patient. |
| Databáze: | OpenAIRE |
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