Nonanastomotic rupture of thoracic aortic Dacron graft treated by endovascular stent graft placement

A 61-year-old man had a Stanford type A acute aortic dissection, and the total aortic arch was replaced with 22-mm knitted Dacron graft in 1996. In 2006, he underwent mitral valve replacement and tricuspid valve repair due to severe mitral and tricuspid valve regurgitation. Although preoperative com...

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Bibliographic Details
Published inGeneral thoracic and cardiovascular surgery Vol. 61; no. 7; pp. 414 - 416
Main Authors Yamaguchi, Seiichi, Asakura, Toshihisa, Miura, Sumio, Ohki, Takao, Kanaoka, Yuji, Ohta, Hiroki, Yajima, Noriyuki, Nakaya, Mitsuru
Format Journal Article
LanguageEnglish
Published Tokyo Springer Japan 01.07.2013
Springer Nature B.V
Subjects
Aneurysm, Dissecting - surgery
Aneurysm, False - diagnostic imaging
Aneurysm, False - etiology
Aorta, Thoracic - surgery
Aortic Aneurysm, Thoracic - surgery
Aortic aneurysms
Biocompatible Materials
Blood Vessel Prosthesis - adverse effects
Blood Vessel Prosthesis Implantation
Cardiac Surgery
Cardiology
Case Report
Endovascular Procedures
Heart Valve Diseases - surgery
Heart Valve Prosthesis Implantation
Humans
Male
Medical imaging
Medicine
Medicine & Public Health
Middle Aged
Polyethylene terephthalate
Polyethylene Terephthalates
Prostheses
Prosthesis Failure
Pseudoaneurysm
Radiography
Reoperation
Rupture
Stents
Surgical Oncology
Thoracic Surgery
Veins & arteries
Dacron
Stent-graft
Rupture
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Summary:A 61-year-old man had a Stanford type A acute aortic dissection, and the total aortic arch was replaced with 22-mm knitted Dacron graft in 1996. In 2006, he underwent mitral valve replacement and tricuspid valve repair due to severe mitral and tricuspid valve regurgitation. Although preoperative computed tomography (CT) scan suggested pseudoaneurysm around the Dacron graft replaced with aortic arch, it could not be repaired concomitantly. Four months later, in view of the technical difficulties of an open surgical procedure, the prosthetic graft failure was repaired by endovascular stent graft consisting of a Gianturco Z stent covered with an UBE woven Dacron graft. However, during a follow-up, aneurysm sac diameter increased without any sings of endoleak in follow-up CT scans. Redo endovascular stent graft placement using a Gore-TAG device was performed. Subsequently, shrinkage of the pseudoaneurysmal sac could be observed.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
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ISSN:1863-6705
1863-6713
DOI:10.1007/s11748-012-0158-4