Erosion of elephant trunk Dacron graft limb by thoracic endograft causing acute aneurysm expansion
We recently treated a patient in whom a Gore TAG thoracic endograft (W.L. Gore and Assoc, Flagstaff, Arix) had been used to repair a descending thoracic aneurysm as the second stage of a hybrid procedure. This patient had previously undergone repair of ascending and aortic arch aneurysms, with an el...
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| Veröffentlicht in: | Journal of vascular surgery 2009-02, Vol.49 (2), p.491-493 |
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| creator | Fehrenbacher, John W., MD McCready, Robert A., MD |
| description | We recently treated a patient in whom a Gore TAG thoracic endograft (W.L. Gore and Assoc, Flagstaff, Arix) had been used to repair a descending thoracic aneurysm as the second stage of a hybrid procedure. This patient had previously undergone repair of ascending and aortic arch aneurysms, with an elephant trunk graft limb placed in the descending thoracic aorta for subsequent repair of the descending thoracic aneurysm. Eight months after placement of the thoracic endograft, the patient presented with an acutely expanding and symptomatic thoracic aneurysm. The patient was operated on urgently. The proximal portion of the endograft had eroded into the previously placed Dacron elephant trunk limb. The proximal portion of the endograft was removed and was replaced with a Dacron graft. The management of this patient forms the basis of this report. |
| doi_str_mv | 10.1016/j.jvs.2008.08.107 |
| format | Article |
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Gore and Assoc, Flagstaff, Arix) had been used to repair a descending thoracic aneurysm as the second stage of a hybrid procedure. This patient had previously undergone repair of ascending and aortic arch aneurysms, with an elephant trunk graft limb placed in the descending thoracic aorta for subsequent repair of the descending thoracic aneurysm. Eight months after placement of the thoracic endograft, the patient presented with an acutely expanding and symptomatic thoracic aneurysm. The patient was operated on urgently. The proximal portion of the endograft had eroded into the previously placed Dacron elephant trunk limb. The proximal portion of the endograft was removed and was replaced with a Dacron graft. 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Graft diseases ; Suture Techniques ; Tomography, X-Ray Computed ; Treatment Failure ; Vascular surgery: aorta, extremities, vena cava. 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Gore and Assoc, Flagstaff, Arix) had been used to repair a descending thoracic aneurysm as the second stage of a hybrid procedure. This patient had previously undergone repair of ascending and aortic arch aneurysms, with an elephant trunk graft limb placed in the descending thoracic aorta for subsequent repair of the descending thoracic aneurysm. Eight months after placement of the thoracic endograft, the patient presented with an acutely expanding and symptomatic thoracic aneurysm. The patient was operated on urgently. The proximal portion of the endograft had eroded into the previously placed Dacron elephant trunk limb. The proximal portion of the endograft was removed and was replaced with a Dacron graft. The management of this patient forms the basis of this report.</description><subject>Adult</subject><subject>Aortic Aneurysm, Thoracic - diagnostic imaging</subject><subject>Aortic Aneurysm, Thoracic - surgery</subject><subject>Aortography - methods</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Blood Vessel Prosthesis</subject><subject>Blood Vessel Prosthesis Implantation - adverse effects</subject><subject>Blood Vessel Prosthesis Implantation - instrumentation</subject><subject>Cardiology. Vascular system</subject><subject>Disease Progression</subject><subject>Diseases of the aorta</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Polyethylene Terephthalates</subject><subject>Prosthesis Design</subject><subject>Prosthesis Failure</subject><subject>Reoperation</subject><subject>Surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Suture Techniques</subject><subject>Tomography, X-Ray Computed</subject><subject>Treatment Failure</subject><subject>Vascular surgery: aorta, extremities, vena cava. 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Vascular system</topic><topic>Disease Progression</topic><topic>Diseases of the aorta</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Polyethylene Terephthalates</topic><topic>Prosthesis Design</topic><topic>Prosthesis Failure</topic><topic>Reoperation</topic><topic>Surgery</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Suture Techniques</topic><topic>Tomography, X-Ray Computed</topic><topic>Treatment Failure</topic><topic>Vascular surgery: aorta, extremities, vena cava. 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Gore and Assoc, Flagstaff, Arix) had been used to repair a descending thoracic aneurysm as the second stage of a hybrid procedure. This patient had previously undergone repair of ascending and aortic arch aneurysms, with an elephant trunk graft limb placed in the descending thoracic aorta for subsequent repair of the descending thoracic aneurysm. Eight months after placement of the thoracic endograft, the patient presented with an acutely expanding and symptomatic thoracic aneurysm. The patient was operated on urgently. The proximal portion of the endograft had eroded into the previously placed Dacron elephant trunk limb. The proximal portion of the endograft was removed and was replaced with a Dacron graft. The management of this patient forms the basis of this report.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>19216967</pmid><doi>10.1016/j.jvs.2008.08.107</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of vascular surgery, 2009-02, Vol.49 (2), p.491-493 |
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| source | MEDLINE; Elsevier ScienceDirect Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Adult Aortic Aneurysm, Thoracic - diagnostic imaging Aortic Aneurysm, Thoracic - surgery Aortography - methods Biological and medical sciences Blood and lymphatic vessels Blood Vessel Prosthesis Blood Vessel Prosthesis Implantation - adverse effects Blood Vessel Prosthesis Implantation - instrumentation Cardiology. Vascular system Disease Progression Diseases of the aorta Humans Male Medical sciences Polyethylene Terephthalates Prosthesis Design Prosthesis Failure Reoperation Surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Suture Techniques Tomography, X-Ray Computed Treatment Failure Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels |
| title | Erosion of elephant trunk Dacron graft limb by thoracic endograft causing acute aneurysm expansion |
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