Aneurysm growth after late conversion of thoracic endovascular aortic repair
A 69-year-old man underwent thoracic endovascular aortic repair of a descending aortic aneurysm. Three years later, he developed impending rupture due to aneurysmal expansion that included the proximal landing zone. Urgent open surgery was performed via lateral thoracotomy, and a Dacron graft was se...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2015-01-01
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| Series: | SAGE Open Medical Case Reports |
| Online Access: | https://doi.org/10.1177/2050313X14565422 |
| _version_ | 1828939544763826176 |
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| author | Hirofumi Kasahara Ichiro Hayashi Norimasa Haijima |
| author_facet | Hirofumi Kasahara Ichiro Hayashi Norimasa Haijima |
| author_sort | Hirofumi Kasahara |
| collection | DOAJ |
| description | A 69-year-old man underwent thoracic endovascular aortic repair of a descending aortic aneurysm. Three years later, he developed impending rupture due to aneurysmal expansion that included the proximal landing zone. Urgent open surgery was performed via lateral thoracotomy, and a Dacron graft was sewn to the previous stent graft distally with Teflon felt reinforcement. Postoperatively, four sequential computed tomography scans demonstrated that the aneurysm was additionally increasing in size probably due to continuous hematoma production, suggesting a possibility of endoleaks. This case demonstrates the importance of careful radiologic surveillance after endovascular repair, and also after partial open conversion. |
| first_indexed | 2024-12-14T03:03:20Z |
| format | Article |
| id | doaj.art-0080d7ed9a5747a4bee28ab1f11ae74a |
| institution | Directory Open Access Journal |
| issn | 2050-313X |
| language | English |
| last_indexed | 2024-12-14T03:03:20Z |
| publishDate | 2015-01-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | SAGE Open Medical Case Reports |
| spelling | doaj.art-0080d7ed9a5747a4bee28ab1f11ae74a2022-12-21T23:19:27ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2015-01-01310.1177/2050313X1456542210.1177_2050313X14565422Aneurysm growth after late conversion of thoracic endovascular aortic repairHirofumi KasaharaIchiro HayashiNorimasa HaijimaA 69-year-old man underwent thoracic endovascular aortic repair of a descending aortic aneurysm. Three years later, he developed impending rupture due to aneurysmal expansion that included the proximal landing zone. Urgent open surgery was performed via lateral thoracotomy, and a Dacron graft was sewn to the previous stent graft distally with Teflon felt reinforcement. Postoperatively, four sequential computed tomography scans demonstrated that the aneurysm was additionally increasing in size probably due to continuous hematoma production, suggesting a possibility of endoleaks. This case demonstrates the importance of careful radiologic surveillance after endovascular repair, and also after partial open conversion.https://doi.org/10.1177/2050313X14565422 |
| spellingShingle | Hirofumi Kasahara Ichiro Hayashi Norimasa Haijima Aneurysm growth after late conversion of thoracic endovascular aortic repair SAGE Open Medical Case Reports |
| title | Aneurysm growth after late conversion of thoracic endovascular aortic repair |
| title_full | Aneurysm growth after late conversion of thoracic endovascular aortic repair |
| title_fullStr | Aneurysm growth after late conversion of thoracic endovascular aortic repair |
| title_full_unstemmed | Aneurysm growth after late conversion of thoracic endovascular aortic repair |
| title_short | Aneurysm growth after late conversion of thoracic endovascular aortic repair |
| title_sort | aneurysm growth after late conversion of thoracic endovascular aortic repair |
| url | https://doi.org/10.1177/2050313X14565422 |
| work_keys_str_mv | AT hirofumikasahara aneurysmgrowthafterlateconversionofthoracicendovascularaorticrepair AT ichirohayashi aneurysmgrowthafterlateconversionofthoracicendovascularaorticrepair AT norimasahaijima aneurysmgrowthafterlateconversionofthoracicendovascularaorticrepair |