Stent-Graft Deployment to Treat a Perigraft Seroma Formed after Descending Thoracic Aortic Surgery

• Published in: Journal of endovascular therapy Vol. 14; no. 6; pp. 813 - 815
• Main Authors: Ohtake, Hiroshi, Kimura, Keiichi, Soga, Singo, Sanada, Junichirou, Matsui, Osamu, Watanabe, Go
• Format: Journal Article
• Language: English
• Published: Los Angeles, CA SAGE Publications 01.12.2007; Allen Press Inc
• Subjects: Aged; Aneurysms; Aorta, Thoracic - diagnostic imaging; Aorta, Thoracic - surgery; Aortography; Blood Vessel Prosthesis; Blood Vessel Prosthesis Implantation - adverse effects; Blood Vessel Prosthesis Implantation - instrumentation; Female; Humans; Polytetrafluoroethylene; Prosthesis Design; Reoperation; Seroma - diagnostic imaging; Seroma - etiology; Seroma - surgery; Stents; Tomography; Tomography, X-Ray Computed; Treatment Outcome; stent-graft; perigraft seroma; descending thoracic aorta; surgery
• ISSN: 1526-6028; 1545-1550
• DOI: 10.1583/06-2037.1

Purpose: To report a case of stent-graft implantation for a perigraft seroma that formed after descending thoracic aortic surgery. Case Report: A 70-year-old woman presented with a perigraft seroma after a descending thoracic aortic surgery 10 years ago in which a polytetrafluoroethylene graft was used. Chest radiography and computed tomography confirmed the presence of a large perigraft seroma. The previous graft was covered with a stent-graft to decrease graft porosity. At 1 year, postoperative examinations revealed a decrease in the size of the perigraft seroma. Conclusion: Stent-graft implantation could prove useful in cases of perigraft seromas where additional conventional surgery may pose difficulties.