Graft Replacement of Distal Arch Aneurysm after Branched Open Stentgraft Method due to Third Time Endoleak
10.4326/jjcvs.41.161
- VernacularTitle:遠位弓部大動脈瘤に対して Branched Open Stentgraft 法を施行後，3度目のエンドリークに対して開胸下に下行置換を施行した1例
- Author:
Masahiro Ryugo
;
Hironori Izutani
;
Takumi Yasugi
;
Mitsugi Nagashima
;
Toru Okamura
;
Fumiaki Shikata
- Publication Type:Journal Article
- Keywords:
Branched Open Stentgraft method;
TEVAR;
endoleak
- From:Japanese Journal of Cardiovascular Surgery
2012;41(4):161-164
- CountryJapan
- Language:Japanese
-
Abstract:
A 71-year-old man had undergone branched open stent grafting for a distal arch aneurysm in May 2006. He subsequently developed multiple episodes of postoperative endoleak successfully treated by TEVAR in January and November 2009. He visited our hospital complaining of back pain in May 2011. Chest computed tomography showed increasing size of the aneurysm and recurrent endoleak of the distal stent graft, and impending rupture of the aneurysm was diagnosed. Considering the technical difficulty of repair by TEVAR, we performed graft replacement of the aneurysm with removal of the previous stent graft. The postoperative course was unremarkable and he was discharged on postoperative day 11.
