Use of a Thoracic Endograft in an Acute Abdominal Aortic Setting: Case Report and Literature Review. (October 2017)

• Record Type: Journal Article
• Authors: Tasselli, Sebastiano; Perini, Paolo; Paini, Elisa; Milan, Luca; Bonvini, Stefano
• Is Part Of: Vascular & endovascular surgery. Volume 51:Number 7(2017)
• Page Start: 493
• Page End: 497
• Publication Date: 2017-10
• Subjects: abdominal aortic aneurysm -- false aneurysm -- paranastomotic aneurysm -- endovascular repair -- thoracic endograft -- difficult neck; Blood-vessels -- Surgery -- Periodicals; Blood-vessels -- Endoscopic surgery -- Periodicals; Vascular Surgical Procedures -- Periodicals; Angioplasty -- Periodicals; Surgical Procedures, Minimally Invasive -- Periodicals; Vascular Diseases -- surgery -- Periodicals; Vaisseaux sanguins -- Chirurgie -- Périodiques; Vaisseaux sanguins -- Chirurgie endoscopique -- Périodiques; 617.41
• DOI: 10.1177/1538574417718446
• Languages: English
• ISSNs: 1538-5744

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.