Explantation of a failed endovascular stent graft in a patient with a type B dissection

J Card Surg. 2018 May;33(5):282-285. doi: 10.1111/jocs.13575. Epub 2018 Apr 23.

Abstract

We report a patient who underwent insertion of an endovascular stent graft in the descending aorta for an aneurysmal type B dissection. The patient developed a proximal type I endoleak which required explantation of the graft and replacement of the descending aorta. Carotid artery cannulation was utilized for antegrade perfusion during the period of circulatory arrest.

Keywords: TEVAR; aortic surgery; carotid artery cannulation; descending aortic aneurysm.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aorta, Thoracic / surgery*
  • Aortic Aneurysm / surgery*
  • Aortic Dissection / surgery*
  • Blood Vessel Prosthesis Implantation / methods*
  • Carotid Arteries
  • Catheterization
  • Circulatory Arrest, Deep Hypothermia Induced
  • Endovascular Procedures / methods*
  • Humans
  • Male
  • Perfusion / methods
  • Prosthesis Failure*
  • Stents*
  • Treatment Outcome