Document Detail


Late perforation of a thoracic aortic dacron graft by a metallic stent-graft component.
MedLine Citation:
PMID:  17042667     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To describe a case involving perforation of a previously placed aortic Dacron graft by the uncovered proximal stent of a thoracic stent-graft. CASE REPORT: A 76-year-old man with a surgically treated type A dissection presented with residual type B dissection. Thoracic stent-grafting of the entry site was performed successfully. After 2 years, the patient was admitted for evaluation of a non-pulsating parasternal mass. Computed tomography showed a large, hypodense liquid-like mass affecting the mediastinum up to the subcutaneous tissue. A false aneurysm at the proximal end of the stent-graft was observed arising from an aortic perforation by the uncovered stent. One week later, the mass had almost completely resolved, and the patient has been scheduled for close surveillance. CONCLUSION: This case illustrated the importance of thoroughly examining the long-term durability and compatibility of prosthetic materials.
Authors:
Octavio Cosin; Hervé Rousseau; Phillipe Otal; Christoff Cron; Valérie Chabbert; Francis Joffre
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists     Volume:  13     ISSN:  1526-6028     ISO Abbreviation:  J. Endovasc. Ther.     Publication Date:  2006 Oct 
Date Detail:
Created Date:  2006-10-17     Completed Date:  2007-02-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100896915     Medline TA:  J Endovasc Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  676-80     Citation Subset:  IM    
Affiliation:
Service de Radiologie, Hôpital Rangueil, Toulouse, France. ocosin@unav.es
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MeSH Terms
Descriptor/Qualifier:
Aged
Aneurysm, Dissecting / surgery
Aneurysm, False / etiology,  radiography,  surgery
Aorta, Thoracic / injuries*,  radiography,  surgery
Aortic Aneurysm, Abdominal / surgery
Aortic Aneurysm, Thoracic / etiology*,  radiography,  surgery
Blood Vessel Prosthesis Implantation / instrumentation
Humans
Male
Polyethylene Terephthalates / therapeutic use*
Postoperative Complications / etiology*,  radiography,  surgery
Recurrence
Reoperation
Stents / adverse effects*
Tomography, X-Ray Computed
Chemical
Reg. No./Substance:
0/Polyethylene Terephthalates

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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