Reoperations after failure of stent grafting for type B aortic dissection: report of two cases.
We describe our successful management of two patients who suffered complications after stent grafting for Type B aortic dissections. One patient was found to have stent-graft migration, which we treated with repeat aortic stent grafting, and the other patient had a proximal endoleak and total occlusion of the stent graft, which we treated with open surgical repair. We discuss the measures used to assist us in deciding on the most appropriate surgery, as well as the treatment alternatives.
Flores
Jorge
J
Department of Cardiovascular Surgery, Hokkaido University School of Medicine, Kita-ku, Sapporo 060-8648, Japan.
Shiiya
Norihiko
N
Kunihara
Takashi
T
Yoshimoto
Kimihiro
K
Matsuzaki
Kenji
K
Yasuda
Keishu
K
D000368:Aged; D000784:Aortic Dissection / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D005548:Foreign-Body Migration / Q000209:etiology; D006083:Graft Occlusion, Vascular / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D015607:Stents / Q000009:adverse effects; D013529:Surgical Wound Dehiscence / Q000209:etiology; D017211:Treatment Failure; D016896:Treatment Outcome