Severe Thoracic Aorta Stenosis After Endovascular Treatment of Blunt Thoracic Aortic Injury.
Accidents, Traffic
Adolescent
Angioplasty, Balloon
/ instrumentation
Anticoagulants
/ therapeutic use
Aorta, Thoracic
/ diagnostic imaging
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation
/ adverse effects
Endovascular Procedures
/ adverse effects
Female
Graft Occlusion, Vascular
/ diagnostic imaging
Humans
Severity of Illness Index
Stents
Thoracic Injuries
/ diagnostic imaging
Thrombosis
/ diagnostic imaging
Time Factors
Treatment Outcome
Vascular System Injuries
/ diagnostic imaging
Wounds, Nonpenetrating
/ diagnostic imaging
Blunt thoracic aortic injury
Stent graft
Thoracic aorta
Thrombosis
Journal
Seminars in thoracic and cardiovascular surgery
ISSN: 1532-9488
Titre abrégé: Semin Thorac Cardiovasc Surg
Pays: United States
ID NLM: 8917640
Informations de publication
Date de publication:
2019
2019
Historique:
received:
11
01
2019
accepted:
11
01
2019
pubmed:
19
1
2019
medline:
18
12
2019
entrez:
19
1
2019
Statut:
ppublish
Résumé
Ten months after thoracic endovascular treatment of blunt thoracic aortic injury, a 15-year-old woman was admitted for chest pain, headache, and lower limbs weakness. Emergent computed tomography showed almost occlusive stenosis at the distal junction between the thoracic stent graft and the native thoracic due to clot formation inside the graft. She subsequently presented a pulmonary edema with concurrent anuria. Emergent angioplasty and stenting using nitinol bare stent was successfully performed. Blood pressure gradient between radial and femoral arteries decreased from 100 mm Hg to 25 mm Hg. Peripheral hypoperfusion signs progressively resolved and kidney function normalized. The patient was discharged 12 days later. Subcutaneous curative anticoagulation during 1 month associated with single antiplatelet therapy was administered. After a 2-month follow-up, the patient was asymptomatic and control CT scan showed a patent stent graft and a patent distal bare stent.
Identifiants
pubmed: 30658074
pii: S1043-0679(19)30020-6
doi: 10.1053/j.semtcvs.2019.01.014
pii:
doi:
Substances chimiques
Anticoagulants
0
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
227-229Informations de copyright
Copyright © 2019 Elsevier Inc. All rights reserved.