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open access

Vol 16, No 3 (2010)
Case report
Published online: 2010-10-15
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Asymptomatic thoracic stentgraft collapse treated conservatively

Robert Juszkat, Bartłomiej Perek, Piotr Buczkowski, Katarzyna Stanisławska, Marek Jemielity
Acta Angiologica 2010;16(3):138-143.

open access

Vol 16, No 3 (2010)
Case reports
Published online: 2010-10-15

Abstract

We describe a case of 58-year-old male with complicated acute type B aortic dissection that was treated with a Cook Zenith thoracic stentgraft. Three months after the procedure, the first routine follow-up computed tomography angiography (CTA) revealed proximal collapse of the stentgraft. An attempt to reopen the endograft from the distal part in a retrograde manner followed by second device implantation failed. After the patient was informed about the need for an open surgical procedure and its related risk, he refused to be operated upon. Up to now, 3 years after diagnosis of stentgraft collapse, he has remained asymptomatic and in serial follow-up CTA scans carried out every 6 to 9 months no further thoracic aortic dilatation has been noted.
Acta Angiol 2010; 16, 3: 138–143

Abstract

We describe a case of 58-year-old male with complicated acute type B aortic dissection that was treated with a Cook Zenith thoracic stentgraft. Three months after the procedure, the first routine follow-up computed tomography angiography (CTA) revealed proximal collapse of the stentgraft. An attempt to reopen the endograft from the distal part in a retrograde manner followed by second device implantation failed. After the patient was informed about the need for an open surgical procedure and its related risk, he refused to be operated upon. Up to now, 3 years after diagnosis of stentgraft collapse, he has remained asymptomatic and in serial follow-up CTA scans carried out every 6 to 9 months no further thoracic aortic dilatation has been noted.
Acta Angiol 2010; 16, 3: 138–143

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Keywords

acute aortic dissection; stentgraft; complications; endograft collapse

About this article
Title

Asymptomatic thoracic stentgraft collapse treated conservatively

Journal

Acta Angiologica

Issue

Vol 16, No 3 (2010)

Article type

Case report

Pages

138-143

Published online

2010-10-15

Page views

598

Article views/downloads

1773

Bibliographic record

Acta Angiologica 2010;16(3):138-143.

Keywords

acute aortic dissection
stentgraft
complications
endograft collapse

Authors

Robert Juszkat
Bartłomiej Perek
Piotr Buczkowski
Katarzyna Stanisławska
Marek Jemielity

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