Document Detail


Proximal aortic perforation after endovascular repair of a type B dissection in a patient with Marfan syndrome.
MedLine Citation:
PMID:  19446984     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Several successful cases of endovascular treatment of type B dissections in patients with Marfan syndrome have been reported. In our patient with Marfan syndrome, a type B dissection was successfully treated endovascularly. Three weeks after this procedure, a computed tomographic angiography (CTA) revealed a perforation of the aortic wall distal to the left subclavian artery by a bare strut of the stent graft. A second stent graft was placed to treat this complication. In patients with Marfan syndrome, complications might be prevented by using stent grafts specifically developed to treat dissections. However, specific complications, eg, perforation, must be taken into account and patients have to be followed attentively.
Authors:
Jasper W van Keulen; Frans L Moll; A Khodadade Jahrome; Joost A van Herwaarden
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-05-15
Journal Detail:
Title:  Journal of vascular surgery : official publication, the Society for Vascular Surgery [and] International Society for Cardiovascular Surgery, North American Chapter     Volume:  50     ISSN:  1097-6809     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  2009 Jul 
Date Detail:
Created Date:  2009-06-30     Completed Date:  2009-07-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  190-2     Citation Subset:  IM    
Affiliation:
Department of Vascular Surgery, University Medical Center, Utrecht, The Netherlands.
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MeSH Terms
Descriptor/Qualifier:
Aneurysm, Dissecting / etiology,  surgery*
Aorta / injuries*
Aortic Aneurysm / etiology,  surgery*
Blood Vessel Prosthesis / adverse effects
Blood Vessel Prosthesis Implantation / adverse effects*
Humans
Male
Marfan Syndrome / complications*
Middle Aged
Stents / adverse effects

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


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