Complications of open stent-graft in treatment of aortic dissection

• Published in: Interactive cardiovascular and thoracic surgery Vol. 8; no. 1; pp. 114 - 116
• Main Authors: Xu, Shang Dong, Yang, Bao Zhong, Fan, Zhan Ming, Huang, Fang Jiong
• Format: Journal Article
• Language: English
• Published: England Eur Assoc Cardio Surg 01.01.2009
• Subjects: Adult; Aneurysm, Dissecting - diagnostic imaging; Aneurysm, Dissecting - surgery; Aortic Aneurysm - diagnostic imaging; Aortic Aneurysm - surgery; Aortic Rupture - etiology; Aortic Rupture - surgery; Aortography - methods; Blood Vessel Prosthesis; Blood Vessel Prosthesis Implantation - adverse effects; Blood Vessel Prosthesis Implantation - instrumentation; Constriction, Pathologic; Graft Occlusion, Vascular - etiology; Graft Occlusion, Vascular - surgery; Humans; Male; Prosthesis Design; Reoperation; Stents; Tomography, X-Ray Computed; Treatment Outcome
• ISSN: 1569-9293; 1569-9285
• DOI: 10.1510/icvts.2008.184135

a Division of Cardiac Surgery, Beijing Anzhen Hospital, Beijing Institute of Heart, Lung and Vascular Diseases, Capital Medical University, Beijing, China b Division of Vascular Surgery, Beijing Anzhen Hospital, Beijing Institute of Heart, Lung and Vascular Diseases, Capital Medical University, Beijing, China c Division of Radiology, Beijing Anzhen Hospital, Beijing Institute of Heart, Lung and Vascular Diseases, Capital Medical University, Beijing, China *Corresponding author. Fax: +86-010-64456576. E-mail address : xushangdong{at}vip.sina.com (S.D. Xu). Open stent-graft has been used in the treatment of aortic dissection in recent years. Two device related complications happened in two patients. One was stenosis of the true lumen in the descending aorta caused by infolding of the distal end of the stent-graft immediately after its deployment. The other one was a new intima tear at the distal end of the stent-graft caused by full expansion of the stent-graft two years after stent-graft implantation. With the refinement of the device and enrichment of surgeons' experience, such complications could be avoided in the future. Key Words: Aortic dissection; Stent-graft