Transluminal occlusion of a pseudoaneurysm arising from a thoracic aortic graft patch using catheter delivery of thrombin.
A 39-year-old man with Marfan syndrome underwent replacement of the aortic valve, root, and ascending aorta for acute type A dissection. Subsequently, he underwent infrarenal aortic replacement for aortic rupture and then graft repair of a thoracoabdominal aneurysm with patch-bearing intercostals. After the third procedure, massive intraperitoneal hemorrhage required three subsequent laparotomies. CT scan showed two thoracic aortic pseudoaneurysms at the patch-graft junction that were sequentially embolized with transcatheter delivery of thrombin.
D000328:Adult; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000628:therapy*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000628:therapy*; D001021:Aortic Valve / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation; D016461:Chemoembolization, Therapeutic; D003287:Contrast Media; D006083:Graft Occlusion, Vascular / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000209:etiology; D006801:Humans; D008297:Male; D008382:Marfan Syndrome / Q000601:surgery*; D013917:Thrombin / Q000008:administration & dosage*; D014057:Tomography, X-Ray Computed
D003287:Contrast Media; D013917:Thrombin