Consecutive failing proximal landing zones

Côme Bosse; Thomas Le Houérou; Raphael Soler; Dominique Fabre; Stéphan Haulon

doi:10.1016/j.jvscit.2019.06.009

Consecutive failing proximal landing zones

J Vasc Surg Cases Innov Tech. 2019 Nov 22;5(4):544-548. doi: 10.1016/j.jvscit.2019.06.009. eCollection 2019 Dec.

Authors

Côme Bosse¹, Thomas Le Houérou¹, Raphael Soler¹, Dominique Fabre¹, Stéphan Haulon¹

Affiliation

¹ Aortic Center, Marie Lannelongue Hospital, Le Plessis-Robinson, Paris-Sud University, Paris Saclay, France.

Abstract

We report the case of a 77-year-old man who presented with successive aortic aneurysms during a 12-year period. He was first treated in 2006 for an abdominal aortic aneurysm with a bifurcated endograft, then in 2016 for a tender type IV thoracoabdominal aortic aneurysm with a proximal aortic cuff with in situ laser fenestrations. He presented in 2018 with a 9-cm distal thoracic aorta aneurysm managed by an off-the-shelf t-Branch endograft (Cook Medical, Bloomington, Ind). The perioperative course was uneventful, and 6-month follow-up computed tomography scan has shown freedom from endoleaks and branch patency. This case illustrates that apparently "healthy" aortic necks can degenerate after endovascular aneurysm repair.

Keywords: Abdominal aorta; Aneurysm; Branched stent graft; Endograft; Reintervention; Thoracic endovascular aortic repair.

Publication types

Case Reports