Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Delayed endovascular treatment of descending aorta stent graft collapse in a patient treated for post- traumatic aortic rupture: a case report. | Nano et al. Journal of Cardiothoracic Surgery 2011 6 76 http content 6 1 76 JCTS JOURNAL OF CARDIOTHORACIC SURGERY CASE REPORT Open Access Delayed endovascular treatment of descending aorta stent graft collapse in a patient treated for post- traumatic aortic rupture a case report Giovanni Nano Daniela Mazzaccaro Giovanni Malacrida Maria Teresa Occhiuto Silvia Stegher and Domenico G Tealdi Abstract Background We report a case of delayed endovascular correction of graft collapse occurred after emergent Thoracic Endovascular Aortic Repair TEVAR for traumatic aortic isthmus rupture. Case presentation In 7th post-operative day after emergent TEVAR for traumatic aortic isthmus rupture Gore TAG 28-150 a partial collapse of the endoprosthesis at the descending tract occurred with no signs of visceral ischemia. Considering patient s clinical conditions the graft collapse wasn t treated at that time. When general conditions allowed reintervention the patient refused any new treatment so he was discharged. Four months later the patient complainted for severe gluteal and sural claudication erectile disfunction and abdominal angina endovascular correction was performed. At 18 months the graft was still patent. Discussion and Conclusion Graft collapse after TEVAR is a rare event which should be detected and treated as soon as possible. Delayed correction of this complication can be lethal due to the risk of visceral ischemia and limbs loss. Keywords TEVAR traumatic aortic rupture graft collapse Introduction Traumatic aortic isthmus rupture is the most common life-threatening thoracic aorta emergency in males in the fourth decade 1 . Endovascular technique is nowadays the gold standard treatment for this kind of lesion 2 but this approach may have some complications 3 4 . Graft collapse has been described in 33 cases in literature 5-18 according to these reports a reintervention is needed to correct this potentially lethal complication either by open
