Symptomatic collapse of a thoracic aorta endoprosthesis

J Vasc Surg. 2006 Jun;43(6):1270-3. doi: 10.1016/j.jvs.2006.02.016.

Abstract

We present the case of a 40-year-old man who underwent aortic endoprosthesis implantation for a traumatic lesion of the thoracic aorta (Gore TAG, 26 x 100 mm, after the instructions for use for a thoracic aorta of 22-24 mm). At 6 months, he came to the emergency room for a hypertensive crisis and acute pulmonary edema. The chest radiograph and thoracoabdominal computed tomographic angiography study showed collapse of the endoprosthesis and a type I proximal leak. A second TAG graft was inserted within the previously collapsed device, and re-expansion was achieved, with resolution of the initial symptoms. At 3 and 6 months, the patient remained asymptomatic, and there were no new findings on computed tomographic angiography.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aneurysm, False / diagnostic imaging
  • Aneurysm, False / surgery*
  • Angiography
  • Aorta, Thoracic / injuries*
  • Aorta, Thoracic / surgery*
  • Aortic Aneurysm, Thoracic / diagnostic imaging
  • Aortic Aneurysm, Thoracic / surgery*
  • Blood Vessel Prosthesis Implantation / methods*
  • Blood Vessel Prosthesis*
  • Humans
  • Male
  • Prosthesis Failure
  • Reoperation
  • Suicide, Attempted
  • Tomography, X-Ray Computed