Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Easo, J; Dapunt, O; Natour, E; Hoelzl, P; Dangel, G; Chavan, A.
Transfemoral stent-graft placement to treat a complication of the frozen elephant trunk procedure.
J ENDOVASC THER. 2007; 14(2): 260-263.
Doi: 10.1583/1545-1550(2007)14[260:TSPTTA]2.0.CO;2
(- Case Report)
Web of Science
PubMed
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- Co-Autor*innen der Med Uni Graz
- Dapunt Otto Eugen
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- Abstract:
- To report a novel complication of a hybrid "frozen elephant trunk" endograft used in the treatment of a multisegmentally diseased aorta. A 53-year-old man with chronic type A aortic dissection and previous replacement of the supracoronary ascending aorta underwent a "frozen elephant trunk" procedure using a hybrid endograft. The stent-graft was placed deep in the descending aorta to cover the multiple distal re-entries. Due to ineffective covering of the re-entries, a patent false lumen led to rapid repressurization of the false lumen immediately distal to the circumferential elephant trunk anastomosis. Compression of the non-stented portion of the hybrid endograft caused a functional aortic stenosis, with severe hemodynamic consequences. Endovascular treatment of the compression by retrograde transfemoral placement of a stent-graft in the non-stented portion of the hybrid endograft achieved free flow in the distal aorta. This case documents a new complication of the frozen elephant trunk procedure; a pseudocoarctation from a repressurized proximal false lumen was successfully managed with a stent-graft to support the non-stented segment of the hybrid endograft.
- Find related publications in this database (using NLM MeSH Indexing)
- Aneurysm, Dissecting - radiography Aneurysm, Dissecting - surgery
- Aorta, Thoracic - physiopathology Aorta, Thoracic - radiography Aorta, Thoracic - surgery
- Aortic Aneurysm, Thoracic - radiography Aortic Aneurysm, Thoracic - surgery
- Aortography -
- Arterial Occlusive Diseases - etiology Arterial Occlusive Diseases - physiopathology Arterial Occlusive Diseases - radiography Arterial Occlusive Diseases - surgery
- Blood Vessel Prosthesis -
- Blood Vessel Prosthesis Implantation - adverse effects
- Chronic Disease -
- Constriction, Pathologic - etiology Constriction, Pathologic - surgery
- Femoral Artery - radiography Femoral Artery - surgery
- Humans -
- Male -
- Middle Aged -
- Prosthesis Design -
- Radiography, Interventional -
- Regional Blood Flow -
- Stents -
- Treatment Outcome -
- Find related publications in this database (Keywords)
- aortic dissection
- thoracic aorta
- aortic arch
- endovascular repair
- stent-graft
- hybrid stent-graft
- complication
- aortic stenosis