Delayed endovascular treatment of descending aorta stent graft collapse in a patient treated for post- traumatic aortic rupture: a case report
| Autor: | Giovanni Malacrida, Daniela Mazzaccaro, Giovanni Nano, Domenico G. Tealdi, Silvia Stegher, M.T. Occhiuto |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2011 |
| Předmět: |
Adult
Male Reoperation Pulmonary and Respiratory Medicine Traumatic aortic rupture medicine.medical_specialty Thoracic Injuries Aortic Rupture medicine.medical_treatment lcsh:Surgery Case Report Aorta Thoracic graft collapse lcsh:RD78.3-87.3 Blood vessel prosthesis medicine.artery medicine Humans Thoracic aorta traumatic aortic rupture Aortic rupture Abdominal angina Rupture TEVAR business.industry Accidents Traffic Angiography Stent General Medicine lcsh:RD1-811 medicine.disease Blood Vessel Prosthesis Prosthesis Failure Surgery Cardiothoracic surgery lcsh:Anesthesiology Descending aorta Stents medicine.symptom Tomography X-Ray Computed Cardiology and Cardiovascular Medicine business Follow-Up Studies |
| Zdroj: | Journal of Cardiothoracic Surgery, Vol 6, Iss 1, p 76 (2011) Journal of Cardiothoracic Surgery |
| ISSN: | 1749-8090 |
| Popis: | Background We report a case of delayed endovascular correction of graft collapse occurred after emergent Thoracic Endovascular Aortic Repair (TEVAR) for traumatic aortic isthmus rupture. Case presentation In 7th post-operative day after emergent TEVAR for traumatic aortic isthmus rupture (Gore TAG® 28-150), a partial collapse of the endoprosthesis at the descending tract occurred, with no signs of visceral ischemia. Considering patient's clinical conditions, the graft collapse wasn't treated at that time. When general conditions allowed reintervention, the patient refused any new treatment, so he was discharged. Four months later the patient complainted for severe gluteal and sural claudication, erectile disfunction and abdominal angina; endovascular correction was performed. At 18 months the graft was still patent. Discussion and Conclusion Graft collapse after TEVAR is a rare event, which should be detected and treated as soon as possible. Delayed correction of this complication can be lethal due to the risk of visceral ischemia and limbs loss. |
| Databáze: | OpenAIRE |
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