Late collapse of a thoracic endoprosthesis

Thoracic stent graft collapse is a rare complication of thoracic endovascular aortic repair that is mostly asymptomatic and occurs ≤3 months of the procedure. We describe the case of a 36-year-old man who presented with symptomatic endograft collapse 38 months after an initial thoracic endovascular...

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Bibliographic Details
Published in:Journal of vascular surgery 2011-03, Vol.53 (3), p.798-801
Main Authors: Shukla, Ankur Janak, MD, Jeyabalan, Geetha, MD, Cho, Jae-Sung, MD
Format: Article
Language:English
Subjects:
Adult
Aorta, Thoracic - diagnostic imaging
Aorta, Thoracic - injuries
Aorta, Thoracic - surgery
Aortography - methods
Biological and medical sciences
Blood and lymphatic vessels
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation - adverse effects
Blood Vessel Prosthesis Implantation - instrumentation
Cardiology. Vascular system
Device Removal
Diseases of the aorta
Endovascular Procedures - adverse effects
Endovascular Procedures - instrumentation
Fecal Incontinence - etiology
Humans
Male
Medical sciences
Prosthesis Design
Prosthesis Failure
Reoperation
Spinal Cord Ischemia - etiology
Surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Time Factors
Tomography, X-Ray Computed
Treatment Outcome
Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels
Vascular System Injuries - diagnostic imaging
Vascular System Injuries - surgery
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Description
Summary:Thoracic stent graft collapse is a rare complication of thoracic endovascular aortic repair that is mostly asymptomatic and occurs ≤3 months of the procedure. We describe the case of a 36-year-old man who presented with symptomatic endograft collapse 38 months after an initial thoracic endovascular aortic repair that was performed for traumatic aortic transection. He had sudden and complete loss of bilateral lower extremity motor and sensory functions (spinal cord ischemia) and anal sphincter tone. The patient was successfully treated with redo thoracic endovascular aortic repair, followed by open conversion and device explantation.
ISSN:0741-5214
1097-6809
DOI:10.1016/j.jvs.2010.10.058