[Lower body ischemia due to bending of the stent after hybrid treatment for chronic stanford type B aortic dissection]

Kyobu Geka. 2013 Aug;66(9):791-4.
[Article in Japanese]

Abstract

Lower body ischemia due to bending of a stented graft at the thoracic aorta was rare, particularly when it occurred in several days after surgery. We experienced this complication and performed the 3rd-time thoracic endovascular repair( TEVAR).A 49-year-old man with a chronic aortic dissection of Stanford type B underwent TEVER;however we failed to close the entry because of the tortuously bended distal arch of the aorta. Then it was decided the patient undergo a hybrid treatment with arch replacement and frozen elephant trunk. Seventeen days after the surgery, the blood pressure of the patient's lower limb was reduced rapidly and his renal function deteriorated. Bending of the stent was revealed by computed tomography( CT). The patient underwent the 3rd-time emergency TEVAR, and his symptoms improved.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Aorta, Thoracic / surgery*
  • Aortic Aneurysm, Thoracic / classification
  • Aortic Aneurysm, Thoracic / surgery*
  • Aortic Dissection / classification
  • Aortic Dissection / surgery*
  • Blood Vessel Prosthesis Implantation / methods*
  • Chronic Disease
  • Emergencies
  • Humans
  • Ischemia / etiology*
  • Lower Extremity / blood supply*
  • Male
  • Middle Aged
  • Postoperative Complications / etiology*
  • Reoperation
  • Stents / adverse effects*
  • Treatment Outcome