Thorac Cardiovasc Surg 2002; 50(2): 104-108
DOI: 10.1055/s-2002-26701
Case Report
© Georg Thieme Verlag Stuttgart · New York

Late Complications and Shape
Changes of the Endografts after Gigantic Thoracic Aortic Aneurysm Repair over a 7-Year Follow-Up

M.  Surlan1 , D.  Pavcnik2 , T.  Gabrijelcic3 , F.  S.  Keller2
  • 1Institute for Radiology, Clinical Center, Ljubljana, Slovenia
  • 2Charles Dotter Interventional Institute, OHSU, Portland, Oregon, USA
  • 3Department of Cardiovascular Surgery, Clinical Center, Ljubljana, Slovenia
Further Information

Publication History

December 3, 2001

Publication Date:
30 April 2002 (online)

Abstract

This report details a 7 years follow up observations in a 71-year-old patient treated with custom made endograft for gigantic thoracic aortic aneurysm (TAA). Progressive changes of the thoracic aorta and aneurysm after endograft placement led to two late complications including proximal stent graft prolapse into the aneurysm and extreme kinking of the endograft and aorta 28 and 51 months after treatment, respectively. Both complications were successfully treated with new endografts placement. Percutaneous endovascular repair is a promising, minimally invasive alternative to exclude TAA. This technique allows long-term treatment of patients who are unsuitable for conventional surgical procedures.

References

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Correspondence

M.D. Dusan Pavcnik

Dotter Interventional Institute, Oregon Health Sciences University

L342, 3181 SW Sam Jackson Park Road

Portland, 97201

Oregon, USA

Phone: +1 (503) 494-2333

Fax: +1 (503) 494-3669

Email: pavcnikd@ohsu.edu

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