Thrombus originating from frayed distal edge of an aortic stent-graft.
An 87-year-old woman who had undergone a stent-graft repair of a descending aortic aneurysm had additional stent-graft implantation for endoleak. The postoperative course was eventful reflecting her preexisting multiple organ disorder, and despite intensive treatment over a span of 2 months, she died of disseminated intravascular coagulation due to intestinal ischemia. Autopsy revealed a thrombus originating from the frayed distal edge of the graft. Although the relation between intestinal ischemia and the thrombus remains to be proven, this is considered a vital finding.
Department of Cardiothoracic Surgery, University of Tokyo, Tokyo, Japan.
Tsuyoshi
T
Taketani
Tetsuro
T
Morota
Ko
K
Shibata
Yutaka
Y
Kotsuka
Shinichi
S
Takamoto
D000368:Aged; D000369:Aged, 80 and over; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007082:Ileum / Q000098:blood supply / Q000473:pathology; D007413:Intestinal Mucosa / Q000473:pathology; D007511:Ischemia / Q000473:pathology; D009336:Necrosis; D013927:Thrombosis / Q000209:etiology*