Surgical conversion for intragraft thrombosis following endovascular repair of traumatic aortic injury

We report the case of a 32-year-old man with severe polytrauma, submitted to urgent endovascular exclusion of a posttraumatic thoracic aortic pseudoaneurysm. Two years later, computed tomography scan showed asymptomatic mural atherothrombosis of the aortic stent graft in its middle-distal portion, a...

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Bibliographic Details
Published in:Journal of vascular surgery 2012-02, Vol.55 (2), p.538-541
Main Authors: Marone, Enrico Maria, MD, Kahlberg, Andrea, MD, Tshomba, Yamume, MD, Logaldo, Davide, MD, Chiesa, Roberto, MD
Format: Article
Language:English
Subjects:
Accidents, Traffic
Adult
Angioscopy
Aorta - injuries
Aorta - 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
Graft Occlusion, Vascular - diagnostic imaging
Graft Occlusion, Vascular - etiology
Graft Occlusion, Vascular - surgery
Humans
Male
Medical sciences
Multiple Trauma
Reoperation
Stents
Surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Thrombosis - diagnostic imaging
Thrombosis - etiology
Thrombosis - surgery
Tomography, X-Ray Computed
Treatment Outcome
Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels
Vascular System Injuries - surgery
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Summary:We report the case of a 32-year-old man with severe polytrauma, submitted to urgent endovascular exclusion of a posttraumatic thoracic aortic pseudoaneurysm. Two years later, computed tomography scan showed asymptomatic mural atherothrombosis of the aortic stent graft in its middle-distal portion, and the patient was placed on oral anticoagulants. As subsequent computed tomography scan showed progression of the thrombosis, the patient underwent surgical conversion, with stent graft explantation and in situ aortic replacement. Gross examination revealed mural organized thrombosis and a significant infolding of the distal end of the stent graft.
ISSN:0741-5214
1097-6809
DOI:10.1016/j.jvs.2011.07.075