Delayed endovascular treatment of descending aorta stent graft collapse in a patient treated for post- traumatic aortic rupture: A case report

Giovanni Nano, Daniela Mazzaccaro, Giovanni Malacrida, Maria T. Occhiuto, Silvia Stegher, Domenico G. Tealdi

Research output: Contribution to journalArticlepeer-review

Abstract

Background: We report a case of delayed endovascular correction of graft collapse occurred after emergent Thoracic Endovascular Aortic Repair (TEVAR) for traumatic aortic isthmus rupture.Case presentation: In 7 th post-operative day after emergent TEVAR for traumatic aortic isthmus rupture (Gore TAG ® 28-150), a partial collapse of the endoprosthesis at the descending tract occurred, with no signs of visceral ischemia. Considering patient's clinical conditions, the graft collapse wasn't treated at that time. When general conditions allowed reintervention, the patient refused any new treatment, so he was discharged.Four months later the patient complainted for severe gluteal and sural claudication, erectile disfunction and abdominal angina; endovascular correction was performed. At 18 months the graft was still patent.Discussion and Conclusion: Graft collapse after TEVAR is a rare event, which should be detected and treated as soon as possible. Delayed correction of this complication can be lethal due to the risk of visceral ischemia and limbs loss.

Original languageEnglish
Article number76
JournalJournal of Cardiothoracic Surgery
Volume6
Issue number1
DOIs
Publication statusPublished - May 24 2011

Keywords

  • Graft collapse
  • TEVAR traumatic aortic rupture

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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