Thoracic Stent Grafting through Transapical Approach for Type III Endoleak due to Prosthetic Disconnection.
Ann Vasc Surg
; 51: 328.e1-328.e5, 2018 Aug.
Article
in En
| MEDLINE
| ID: mdl-29778614
ABSTRACT
Thoracic endovascular aortic repair is a well-established treatment of descending thoracic aneurysms, and increasingly complex endovascular procedures including aortic arch and ascending aorta are being performed. However, follow-up complications may be expected, which will enhance the need for alternative approaches such as transapical, in case of complex anatomies and reinterventions. We report the case of a man with prior history of ischemic cardiopathy and multiple endovascular aortic interventions with proximal landing in zone 1 and distal landing proximal to celiac trunk. During the follow-up, the patient developed a 9-cm proximal thoracic aneurysm due to type III endoleak secondary to proximal prosthetic disconnection. Because of severe aortic elongation, inadequate usual vessel accesses (transfemoral/subclavian), and proximity to aortic arch, transapical approach was thought to be the best option in this case. The stent graft was correctly deployed without complications, and the postoperative imaging revealed an excellent result.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Blood Vessel Prosthesis
/
Stents
/
Aortic Aneurysm, Thoracic
/
Aortic Aneurysm, Abdominal
/
Blood Vessel Prosthesis Implantation
/
Endoleak
/
Endovascular Procedures
Type of study:
Etiology_studies
Limits:
Aged
/
Humans
/
Male
Language:
En
Journal:
Ann Vasc Surg
Journal subject:
ANGIOLOGIA
Year:
2018
Document type:
Article
Affiliation country:
Spain