Suprarenal stent perforation after endovascular abdominal aortic aneurysm repair
A 66-year-old man with an abdominal aortic aneurysm previously repaired with an endovascular stent graft presented to our facility with worsening midabdominal and back pain. Previous postoperative surveillance computed tomography scans were unremarkable, showing excellent stent–wall apposition and a...
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Veröffentlicht in: | Journal of vascular surgery 2012-10, Vol.56 (4), p.1110-1113 |
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creator | Smeds, Matthew R., MD Westfall, Scott G., MD Pennell, Richard C., MD Mantese, Vito A., MD |
description | A 66-year-old man with an abdominal aortic aneurysm previously repaired with an endovascular stent graft presented to our facility with worsening midabdominal and back pain. Previous postoperative surveillance computed tomography scans were unremarkable, showing excellent stent–wall apposition and a shrinking aneurysm sac; however, imaging done on his arrival identified a contained rupture at the level of the celiac artery containing a perforating suprarenal stent. We repaired this rupture with a surgeon-modified fenestrated stent graft. To our knowledge, this is the first reported case of penetration of the native aorta by a suprarenal stent in the absence of infection or trauma. |
doi_str_mv | 10.1016/j.jvs.2012.04.054 |
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Previous postoperative surveillance computed tomography scans were unremarkable, showing excellent stent–wall apposition and a shrinking aneurysm sac; however, imaging done on his arrival identified a contained rupture at the level of the celiac artery containing a perforating suprarenal stent. We repaired this rupture with a surgeon-modified fenestrated stent graft. 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Previous postoperative surveillance computed tomography scans were unremarkable, showing excellent stent–wall apposition and a shrinking aneurysm sac; however, imaging done on his arrival identified a contained rupture at the level of the celiac artery containing a perforating suprarenal stent. We repaired this rupture with a surgeon-modified fenestrated stent graft. To our knowledge, this is the first reported case of penetration of the native aorta by a suprarenal stent in the absence of infection or trauma.</description><subject>Aged</subject><subject>Aortic Aneurysm, Abdominal - surgery</subject><subject>Aortic Rupture - diagnosis</subject><subject>Aortic Rupture - etiology</subject><subject>Aortic Rupture - therapy</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Blood Vessel Prosthesis - adverse effects</subject><subject>Blood Vessel Prosthesis Implantation</subject><subject>Cardiology. Vascular system</subject><subject>Diseases of the aorta</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Stents - adverse effects</subject><subject>Surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Vascular surgery: aorta, extremities, vena cava. 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Vascular system</topic><topic>Diseases of the aorta</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Stents - adverse effects</topic><topic>Surgery</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Vascular surgery: aorta, extremities, vena cava. 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subjects | Aged Aortic Aneurysm, Abdominal - surgery Aortic Rupture - diagnosis Aortic Rupture - etiology Aortic Rupture - therapy Biological and medical sciences Blood and lymphatic vessels Blood Vessel Prosthesis - adverse effects Blood Vessel Prosthesis Implantation Cardiology. Vascular system Diseases of the aorta Humans Male Medical sciences Stents - adverse effects Surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels |
title | Suprarenal stent perforation after endovascular abdominal aortic aneurysm repair |
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