A Case of Endovascular Aortic Repair with a Vascular Embolic Device and Stent-Graft for the Anastomotic Pseudoaneurysm in the Ascending Aorta
- VernacularTitle:上行大動脈吻合部仮性瘤に対する血管塞栓プラグおよびステントグラフトによる血管内治療経験
- Author:
Soichi Asano
;
Naoki Hayashida
;
Masanao Ohba
;
Kozo Matsuo
;
Hiroyuki Kito
;
Nobuyuki Hirose
;
Takuto Maruyama
;
Masashi Kabasawa
;
Hideomi Hasegawa
;
Hirokazu Murayama
- Publication Type:Journal Article
- Keywords: vascular embolic plug; TEVAR; ascending anastomotic pseudoaneurysm
- From:Japanese Journal of Cardiovascular Surgery 2016;45(5):238-241
- CountryJapan
- Language:Japanese
-
Abstract:
We report a case of a 72-year-old woman, who had an anastomotic pseudoaneurysm in the ascending aorta, successfully treated by endovascular aortic repair with vascular embolic devise and stent-graft. It seemed to be high risk to achieve conventional surgery with extracorporeal circulation, therefore we selected endovascular treatment because she had a bleeding tendency which derived from disseminated intravascular coagulation. Then, we adopted stent-grafting with a vascular embolic device, because the distal side of pseudoaneurysm had too short a landing zone to cover the stent-graft only. The patient well tolerated this procedure and her postoperative course was uneventful. The pseudoaneurysm shrank at 6th months after operation.