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- Title
AneuRx stent-graft failure four years after TAA exclusion.
- Authors
Schepens, Marc A.; van den Berg, Jos C.; Moll, Frans L.; Dossche, Karl M.; Heijmen, Robin H.
- Abstract
<bold>Purpose: </bold>To present a case of graft material disruption 4 years after thoracic aortic aneurysm (TAA) exclusion with the AneuRx stent-graft.<bold>Case Report: </bold>In 1999, a 62-year-old man underwent successful exclusion of a descending 98-mm TAA with 2 AneuRx stent-grafts. A type I distal endoleak was diagnosed 1 month later, and a distal extension cuff was placed just proximal to the celiac trunk. One year later, a new endoleak was discovered (presumed to be type II); the patient refused proposed thrombin injection to seal the leak. The diameter of the aneurysm enlarged gradually, and in 2003, he presented with a ruptured TAA and a massive left-sided hemathorax. The patient underwent urgent open surgical repair using extracorporeal circulation; the 3 stent-grafts were removed. Unfortunately, the patient died from cardiac failure 2 days later. Macroscopic examination showed several disruptions of the graft fabric and a stent fracture, which presumably explains the endoleak and rupture.<bold>Conclusions: </bold>This case reaffirms the necessity of long-term stent-graft surveillance.
- Subjects
SURGICAL stents; SURGICAL instruments; SCIENTIFIC apparatus &; instruments; MEDICAL supplies; THORACIC arteries; AORTIC aneurysms; ANEURYSM surgery; BLOOD vessel prosthesis; DISEASE complications; COMPLICATIONS of prosthesis; TREATMENT effectiveness; THORACIC aneurysms
- Publication
Journal of Endovascular Therapy, 2004, Vol 11, Issue 1, p49
- ISSN
1526-6028
- Publication type
journal article
- DOI
10.1583/1545-1550(2004)011<0049:ASFFYA>2.0.CO;2