False aneurysms at both ends of a descending thoracic aortic stent-graft: complication after endovascular repair of a penetrating atherosclerotic ulcer.
OBJECTIVE
To report the formation of false aneurysms at both ends of a stent-graft implanted in the descending thoracic aorta to repair a penetrating atherosclerotic ulcer.


METHODS
A 66-year-old woman with a penetrating atherosclerotic ulcer was treated with a 34 x 70-mm homemade Gianturco-type stent covered with polytetrafluoroethylene graft. Four months later, she developed false aneurysms at both ends of the stent-graft. The patient refused further endovascular repairs, so the stent-graft was surgically removed and the aorta repaired.


CONCLUSIONS
This case demonstrates an unusual complication that should be anticipated when a stent-graft is deployed in the acute phase of thoracic aortic ulcer or its variants.
Chen
Fang Hong
FH
Department of Radiology, Zhejiang Provincial People's Hospital, Hang Zhou, China.
Shim
Won Heum
WH
Chang
Byung Chul
BC
Park
Sang Joon
SJ
Won
Jong Yun
JY
Lee
Do Yun
DY
D000368:Aged; D017541:Aneurysm, False / Q000209:etiology*; D017130:Angioplasty / Q000009:adverse effects*; D001013:Aorta, Thoracic / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000209:etiology*; D001161:Arteriosclerosis / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D005260:Female; D006801:Humans; D015607:Stents / Q000009:adverse effects*