Emergent open conversion for stent-graft deployment failure in a ruptured thoracic aneurysm
Thoracic endovascular aortic repair (TEVAR) is the standard of care for ruptured thoracic aortic aneurysms. A 92-year-old man had presented in stable condition but with acute severe back pain. Computed tomography revealed a ruptured thoracic aortic aneurysm. TEVAR (Valiant; Medtronic Vascular, Santa...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2021-03-01
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| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428720301921 |
| _version_ | 1818349539846782976 |
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| author | Corinne Kohler, MD Thomas R. Wyss, MD Nando Mertineit, MD Vladimir Makaloski, MD Juerg Schmidli, MD |
| author_facet | Corinne Kohler, MD Thomas R. Wyss, MD Nando Mertineit, MD Vladimir Makaloski, MD Juerg Schmidli, MD |
| author_sort | Corinne Kohler, MD |
| collection | DOAJ |
| description | Thoracic endovascular aortic repair (TEVAR) is the standard of care for ruptured thoracic aortic aneurysms. A 92-year-old man had presented in stable condition but with acute severe back pain. Computed tomography revealed a ruptured thoracic aortic aneurysm. TEVAR (Valiant; Medtronic Vascular, Santa Rosa, Calif) into zone 2 with intentional coverage of the left subclavian artery was planned. After release of the stent-graft body, proximal release of the bare springs was impossible. Troubleshooting techniques were applied; but tip capture could not be released. Emergent conversion to open repair was performed. Intraoperative device deployment failure in TEVAR is rare. The findings from the present report have demonstrated the advantages of having in-house cardiac surgery backup available. |
| first_indexed | 2024-12-13T18:07:34Z |
| format | Article |
| id | doaj.art-67f3fcbebdda47a1adb73b9a1adff212 |
| institution | Directory Open Access Journal |
| issn | 2468-4287 |
| language | English |
| last_indexed | 2024-12-13T18:07:34Z |
| publishDate | 2021-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj.art-67f3fcbebdda47a1adb73b9a1adff2122022-12-21T23:36:02ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872021-03-0171180182Emergent open conversion for stent-graft deployment failure in a ruptured thoracic aneurysmCorinne Kohler, MD0Thomas R. Wyss, MD1Nando Mertineit, MD2Vladimir Makaloski, MD3Juerg Schmidli, MD4Department of Cardiovascular Surgery, Swiss Cardiovascular Center, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland; Correspondence: Corinne Kohler, MD, Department of Cardiovascular Surgery, Swiss Cardiovascular Center, Inselspital, Bern University Hospital, University of Bern, Freiburgstrasse 18, Bern 310, SwitzerlandDepartment of Cardiovascular Surgery, Swiss Cardiovascular Center, Inselspital, Bern University Hospital, University of Bern, Bern, SwitzerlandDivision of Radiology, Inselspital, Bern University Hospital, University of Bern, Bern, SwitzerlandDepartment of Cardiovascular Surgery, Swiss Cardiovascular Center, Inselspital, Bern University Hospital, University of Bern, Bern, SwitzerlandDepartment of Cardiovascular Surgery, Swiss Cardiovascular Center, Inselspital, Bern University Hospital, University of Bern, Bern, SwitzerlandThoracic endovascular aortic repair (TEVAR) is the standard of care for ruptured thoracic aortic aneurysms. A 92-year-old man had presented in stable condition but with acute severe back pain. Computed tomography revealed a ruptured thoracic aortic aneurysm. TEVAR (Valiant; Medtronic Vascular, Santa Rosa, Calif) into zone 2 with intentional coverage of the left subclavian artery was planned. After release of the stent-graft body, proximal release of the bare springs was impossible. Troubleshooting techniques were applied; but tip capture could not be released. Emergent conversion to open repair was performed. Intraoperative device deployment failure in TEVAR is rare. The findings from the present report have demonstrated the advantages of having in-house cardiac surgery backup available.http://www.sciencedirect.com/science/article/pii/S2468428720301921Descending aortaTEVARThoracic aneurysmRuptured aneurysm |
| spellingShingle | Corinne Kohler, MD Thomas R. Wyss, MD Nando Mertineit, MD Vladimir Makaloski, MD Juerg Schmidli, MD Emergent open conversion for stent-graft deployment failure in a ruptured thoracic aneurysm Journal of Vascular Surgery Cases and Innovative Techniques Descending aorta TEVAR Thoracic aneurysm Ruptured aneurysm |
| title | Emergent open conversion for stent-graft deployment failure in a ruptured thoracic aneurysm |
| title_full | Emergent open conversion for stent-graft deployment failure in a ruptured thoracic aneurysm |
| title_fullStr | Emergent open conversion for stent-graft deployment failure in a ruptured thoracic aneurysm |
| title_full_unstemmed | Emergent open conversion for stent-graft deployment failure in a ruptured thoracic aneurysm |
| title_short | Emergent open conversion for stent-graft deployment failure in a ruptured thoracic aneurysm |
| title_sort | emergent open conversion for stent graft deployment failure in a ruptured thoracic aneurysm |
| topic | Descending aorta TEVAR Thoracic aneurysm Ruptured aneurysm |
| url | http://www.sciencedirect.com/science/article/pii/S2468428720301921 |
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