Treatment of a fistula at the distal anastomosis after Bentall operation with endoluminal covered stent.
A 25-year-old Marfan patient was operated on for an acute type A aortic dissection that was complicated twice by false aneurysms at the distal suture line. At the third episode a covered endoprosthesis was inserted in the ascending aorta between the coronary ostia and the inominate artery. The postoperative course was uneventful and a control computed tomographic scan showed complete occlusion of the false aneurysm. This attractive technique should be considered versus an open-heart operation in selected patients.
Roux
Daniel
D
Department of Cardiovascular Surgery, Toulouse-Rangueil University, Hôpital de Rangueil, Toulouse, France. fournial.g@chu-toulouse.fr
Brouchet
Laurent
L
Rousseau
Hervé
H
Elghobary
Tamer
T
Glock
Yves
Y
Fournial
Gérard
G
D000328:Adult; D000784:Aortic Dissection / Q000601:surgery*; D017541:Aneurysm, False / Q000150:complications; D001014:Aortic Aneurysm / Q000601:surgery*; D005402:Fistula / Q000628:therapy*; D006801:Humans; D008297:Male; D008382:Marfan Syndrome / Q000601:surgery; D012086:Reoperation; D015607:Stents