Collapse of a stent-graft following treatment of a traumatic thoracic aortic rupture.
OBJECTIVE
To report a collapsed stent-graft used to treat a traumatic aortic rupture.


METHODS
A Gore TAG stent-graft was placed in a 20-year-old man with multiple injuries. Postimplantation computed tomographic angiography (CTA) demonstrated no contrast extravasation and total exclusion of the traumatic rupture. Routine CTA 3 months after implantation revealed a collapsed stent-graft located in the outer curve of the distal aortic arch. A Talent stent-graft was placed successfully within the collapsed prosthesis. Postimplantation CTA demonstrated no contrast extravasation and good apposition of the endograft to the aortic wall. At 6 months, the repair remains secure; there is no sign of graft collapse or endoleak.


CONCLUSIONS
Collapse of stent-grafts can occur after treatment for traumatic aortic ruptures; endovascular methods can be used to restore a satisfactory luminal contour.
Idu
Mirza M
MM
Department of Vascular Surgery, Academic Medical Center, Amsterdam, The Netherlands. M.M.Idu@amc.uva.nl
Reekers
Jim A
JA
Balm
Ron
R
Ponsen
Kees-Jan
KJ
de Mol
Bas A J M
BA
Legemate
Dink A
DA
D000063:Accidents, Traffic; D000328:Adult; D001013:Aorta, Thoracic; D001019:Aortic Rupture / Q000000981:diagnostic imaging / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects* / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D015601:Injury Severity Score; D018810:Magnetic Resonance Angiography; D008297:Male; D009104:Multiple Trauma / Q000175:diagnosis / Q000628:therapy; D011474:Prosthesis Design; D011475:Prosthesis Failure; D011859:Radiography; D012086:Reoperation; D018570:Risk Assessment; D015607:Stents / Q000009:adverse effects*; D016896:Treatment Outcome