A New and Unexpected Complication After Arch Stent Grafting for Residual Dissection.
Acute Disease
Aged
Aortic Dissection
/ surgery
Aneurysm, False
/ diagnosis
Aorta, Thoracic
/ surgery
Aortic Aneurysm, Thoracic
/ surgery
Blood Vessel Prosthesis Implantation
/ adverse effects
Endovascular Procedures
/ adverse effects
Humans
Imaging, Three-Dimensional
Male
Postoperative Complications
/ diagnosis
Reoperation
Stents
/ adverse effects
Journal
The Annals of thoracic surgery
ISSN: 1552-6259
Titre abrégé: Ann Thorac Surg
Pays: Netherlands
ID NLM: 15030100R
Informations de publication
Date de publication:
06 2020
06 2020
Historique:
received:
16
08
2019
accepted:
29
08
2019
pubmed:
7
11
2019
medline:
4
8
2020
entrez:
6
11
2019
Statut:
ppublish
Résumé
This report describes a complication after stent grafting of the aortic arch for residual dissection after ascending aorta and aortic arch replacement for acute type A dissection. One year later, a pseudoaneurysm originating from the proximal suture line and therefore far from the stent graft landing zone developed and fistulized into the pulmonary artery. Possible causes were suture damage during stent deployment and change of system forces after stent placement leading to high tension on the suture line. Emergency surgery was performed. Aortic arch stent grafting is a new and promising technique, but its complications are still not completely known.
Identifiants
pubmed: 31689408
pii: S0003-4975(19)31606-6
doi: 10.1016/j.athoracsur.2019.08.116
pii:
doi:
Types de publication
Case Reports
Video-Audio Media
Langues
eng
Sous-ensembles de citation
IM
Pagination
e429-e430Informations de copyright
Copyright © 2020 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.