Document Detail


A diagnostic odyssey and successful repair of a progressive aneurysmal expansion after complex aortic surgery and stent grafting of the descending aorta.
MedLine Citation:
PMID:  20551195     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 48-year-old patient with Marfan syndrome presented with an ascending aortic and arch periprosthesis hematoma (14.0 x 9.0 cm) and a descending aortic aneurysm (8.7 x 9.1 cm) developed over the last 2.5 years, after several operations on the ascending aorta and arch as well as stent-graft placement in the descending aorta. After a diagnostic odyssey, the small true aortic lumen was identified as the source for the ascending aortic periprosthesis hematoma and descending aortic aneurysm expansion. The present case report underlines several important issues in the combined surgical and interventional management of patients requiring multiple and complex procedures on the thoracic aorta.
Authors:
Efstratios I Charitos; Christoph A Nienaber; Hans-Hinrich Sievers
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-06-15
Journal Detail:
Title:  Interactive cardiovascular and thoracic surgery     Volume:  11     ISSN:  1569-9285     ISO Abbreviation:  Interact Cardiovasc Thorac Surg     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-08-19     Completed Date:  2010-12-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101158399     Medline TA:  Interact Cardiovasc Thorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  351-3     Citation Subset:  IM    
Affiliation:
Cardiac and Thoracic Vascular Surgery Clinic, University Clinic of Schleswig-Holstein, Campus Luebeck, Ratzeburger Allee 160, 23538 Luebeck, Germany. efstratios.charitos@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Aortic Aneurysm, Thoracic / diagnosis,  etiology,  surgery*
Aortography / methods
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation / adverse effects*,  instrumentation
Disease Progression
Hematoma / diagnosis*,  etiology,  surgery
Humans
Male
Marfan Syndrome / complications*
Middle Aged
Reoperation
Stents
Tomography, X-Ray Computed
Treatment Outcome

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


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