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- Title
Use of a Thoracic Endograft in an Acute Abdominal Aortic Setting: Case Report and Literature Review.
- Authors
Tasselli, Sebastiano; Perini, Paolo; Paini, Elisa; Milan, Luca; Bonvini, Stefano
- Abstract
Purpose: We report the case of a thoracic endograft used to achieve exclusion of a ruptured proximal paranastomotic abdominal aortic aneurysm (PAAA) as a consequence of aortic ballooning. Case Report: A type I proximal endoleak was evidenced following endovascular repair of a PAAA with an aortic cuff. The leak was treated with ballooning, which caused distal aortic rupture. A thoracic endograft was deployed inside the cuff, achieving complete exclusion. At 1 year, there are no signs of migration or endoleak with complete PAAA thrombosis, according to computed tomographic angiography. Conclusion: In hostile proximal abdominal aortic neck, challenging anatomies, or urgent cases, the structural adaptability of thoracic endografts could provide safe and successful abdominal aortic endovascular exclusion.
- Subjects
ABDOMINAL aortic aneurysms; TRANSPLANTATION of organs, tissues, etc.; TREATMENT effectiveness; AORTIC rupture; DISEASE complications; DIAGNOSIS
- Publication
Vascular & Endovascular Surgery, 2017, Vol 51, Issue 7, p493
- ISSN
1538-5744
- Publication type
Article
- DOI
10.1177/1538574417718446