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Late retrograde aortic perforation by the uncovered part of an endograft: an increasing complication.

Authors
  • Panos, Aristotelis
Type
Published Article
Journal
Hellenic journal of cardiology : HJC = Hellēnikē kardiologikē epitheōrēsē
Publication Date
Jan 01, 2007
Volume
48
Issue
2
Pages
115–116
Identifiers
PMID: 17489350
Source
Medline
License
Unknown

Abstract

A 56-year-old man, known for type B aortic dissection, was treated 3 years before with a Talent endograft (Medtronic, Minneapolis, USA) in the descending aorta. He presented with tamponade caused by the perforation of the aortic intima by the uncovered stent strut. The ascending aorta and part of the aortic arch were replaced. The operation and recovery were uneventful. To avoid aortic arch damage by thoracic stent-grafts, the proximal stent should be fully covered. In addition we should be very cautious about the proximal landing zone of the stent, which should not be on the curved portion of the aorta.

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