CC-BY-NC-ND 4.0 · THORAC CARDIOV SURG Reports 2017; 06(01): e25-e28
DOI: 10.1055/s-0037-1606285
Case Report: Cardiac
Georg Thieme Verlag KG Stuttgart · New York

Old Solutions for New Troubles in Complications after Thoracic Endovascular Aortic Repair

German Alberto Fortunato1, Guillermo Stöger1, Ricardo Gustavo Marenchino1, Vadim Kotowicz1
  • 1Department of Cardiovascular Surgery, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
Further Information

Publication History

30 June 2017

13 July 2017

Publication Date:
25 August 2017 (online)

Abstract

Background The authors present two cases with type B aortic dissection initially treated by endovascular stent graft who developed aortic complications posttreatment and required surgical treatment.

Case Description A 50-year-old woman and a 65-year-old man underwent endovascular treatment for thoracic aortic aneurysm associated with type B dissection and —both of them evolved with endoleak type 1. The first case was related to aortobronchial fistula, and the second one was associated with ascending aortic aneurysm. An extra-anatomical ascending aorta-supraceliac aorta bypass grafting was decided due to the persistent leak.

Conclusion Surgery is an excellent choice for complex complications after thoracic endovascular aortic repair with previous failed attempts of endovascular resolution.