A rare case of lethal Najuta endograft collapse
Abstract Background The development of fenestrated endograft, Najuta endograft Kawasumi Laboratories, Inc, Tokyo, Japan) in thoracic endovascular aortic repair (TEVAR) has enabled the treatment of aortic arch aneurysms approaching zone 0 without the need of supra-aortic vessel branch reconstruction....
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2023-11-01
|
| Series: | Journal of Cardiothoracic Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13019-023-02436-6 |
| _version_ | 1797629978851934208 |
|---|---|
| author | Akihiro Nakase Yoshito Inoue |
| author_facet | Akihiro Nakase Yoshito Inoue |
| author_sort | Akihiro Nakase |
| collection | DOAJ |
| description | Abstract Background The development of fenestrated endograft, Najuta endograft Kawasumi Laboratories, Inc, Tokyo, Japan) in thoracic endovascular aortic repair (TEVAR) has enabled the treatment of aortic arch aneurysms approaching zone 0 without the need of supra-aortic vessel branch reconstruction. However, the indications of Najuta remain controversial due to complications such as endograft collapse, which is rare and lethal. Case presentation We here report a 75-year-old male patient with arch saccular aneurysm. Because of his liver cirrhosis, 2 debranching TEVAR has chosen as a treatment using Najuta. After extrathoracic bypass was performed, a CTAG stent graft was implanted distal to the LSCA in order to deliver Najuta stent graft steadily. Najuta stent graft was successfully positioned in zone 0. However, he was suffered from stent-graft collapse. After additional TEVAR to salvage stent-graft collapse to zone 0, he complicated type A dissection, which was treated by ascending aorta replacement. After salvage operation complicated multiorgan failure and he died. |
| first_indexed | 2024-03-11T11:01:29Z |
| format | Article |
| id | doaj.art-bfbf5aee443f402f9f7cf18027fcb139 |
| institution | Directory Open Access Journal |
| issn | 1749-8090 |
| language | English |
| last_indexed | 2024-03-11T11:01:29Z |
| publishDate | 2023-11-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj.art-bfbf5aee443f402f9f7cf18027fcb1392023-11-12T12:29:42ZengBMCJournal of Cardiothoracic Surgery1749-80902023-11-011811310.1186/s13019-023-02436-6A rare case of lethal Najuta endograft collapseAkihiro Nakase0Yoshito Inoue1Department of Cardiovascular Surgery, Tokyo Dental College Ichikawa General HospitalDepartment of Cardiovascular Surgery, Tokyo Dental College Ichikawa General HospitalAbstract Background The development of fenestrated endograft, Najuta endograft Kawasumi Laboratories, Inc, Tokyo, Japan) in thoracic endovascular aortic repair (TEVAR) has enabled the treatment of aortic arch aneurysms approaching zone 0 without the need of supra-aortic vessel branch reconstruction. However, the indications of Najuta remain controversial due to complications such as endograft collapse, which is rare and lethal. Case presentation We here report a 75-year-old male patient with arch saccular aneurysm. Because of his liver cirrhosis, 2 debranching TEVAR has chosen as a treatment using Najuta. After extrathoracic bypass was performed, a CTAG stent graft was implanted distal to the LSCA in order to deliver Najuta stent graft steadily. Najuta stent graft was successfully positioned in zone 0. However, he was suffered from stent-graft collapse. After additional TEVAR to salvage stent-graft collapse to zone 0, he complicated type A dissection, which was treated by ascending aorta replacement. After salvage operation complicated multiorgan failure and he died.https://doi.org/10.1186/s13019-023-02436-6Endograft collapseNajutaTEVARThoracic aortic aneurysm |
| spellingShingle | Akihiro Nakase Yoshito Inoue A rare case of lethal Najuta endograft collapse Journal of Cardiothoracic Surgery Endograft collapse Najuta TEVAR Thoracic aortic aneurysm |
| title | A rare case of lethal Najuta endograft collapse |
| title_full | A rare case of lethal Najuta endograft collapse |
| title_fullStr | A rare case of lethal Najuta endograft collapse |
| title_full_unstemmed | A rare case of lethal Najuta endograft collapse |
| title_short | A rare case of lethal Najuta endograft collapse |
| title_sort | rare case of lethal najuta endograft collapse |
| topic | Endograft collapse Najuta TEVAR Thoracic aortic aneurysm |
| url | https://doi.org/10.1186/s13019-023-02436-6 |
| work_keys_str_mv | AT akihironakase ararecaseoflethalnajutaendograftcollapse AT yoshitoinoue ararecaseoflethalnajutaendograftcollapse AT akihironakase rarecaseoflethalnajutaendograftcollapse AT yoshitoinoue rarecaseoflethalnajutaendograftcollapse |