Multistage Endovascular Management of a Thoracoabdominal Aortic Aneurysm in a Post-Heart Transplant Patient

Vasc Endovascular Surg. 2022 Feb;56(2):220-224. doi: 10.1177/15385744211056142. Epub 2021 Nov 14.

Abstract

The development of aneurysms of thoracoabdominal aorta (TAAA) in a post-transplant patient is a rare clinical situation and requires special attention. Endovascular treatment is the most suitable option for these patients due to numerous comorbidities. Particular emphasis should be placed on the ejection fraction as one of the main criteria for qualifying for surgery. The treatment itself remains a major challenge relating to anatomical constrains; however, it is possible in select patients in experienced centers.

Keywords: Branched endovascular aortic repair; endovascular; heart transplantation; temporary aneurysm sack perfusion; thoracoabdominal aneurysm.

MeSH terms

  • Aortic Aneurysm, Thoracic* / diagnostic imaging
  • Aortic Aneurysm, Thoracic* / etiology
  • Aortic Aneurysm, Thoracic* / surgery
  • Blood Vessel Prosthesis
  • Blood Vessel Prosthesis Implantation* / adverse effects
  • Endovascular Procedures* / adverse effects
  • Heart Transplantation* / adverse effects
  • Humans
  • Postoperative Complications
  • Prosthesis Design
  • Risk Factors
  • Treatment Outcome