title: Open surgical repair for a perigraft leak after endovascular stent-graft emplacement of descending thoracic aneurysm.
abstract: Although transluminal stent-graft implantation is less invasive for treating an aneurysm in the thoracic descending aorta, this technique is not always successful. Here, we report two cases of a perigraft leak identified after stent-graft deployment, and complete occlusion of the leak could not be attained by additional stent-graft deployment. Open surgical repair using a stented graft was performed through a median sternotomy without opening the left pleura. This procedure should be considered as one of the less-invasive techniques for treating a perigraft leak after endovascular stent-graft emplacement.
authors.affiliation: Department of Cardiovascular Surgery, Graduate School of Medicine, Tohoku University, 1-1 Seiryomachi, Aoba-ku, Sendai, 980-8574, Japan.
authors.forename: A
authors.initials: A
authors.lastname: Iguchi
authors.forename: Y
authors.initials: Y
authors.lastname: Tsuru
authors.forename: H
authors.initials: H
authors.lastname: Yokoyama
authors.forename: K
authors.initials: K
authors.lastname: Tabayashi
mesh_terms: D000368:Aged; D001013:Aorta, Thoracic / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D004868:Equipment Failure; D006801:Humans; D008297:Male; D012086:Reoperation; D015607:Stents; D013249:Sternum / Q000601:surgery; D019616:Thoracic Surgical Procedures / Q000379:methods