Perforation of the ascending aorta: a late complication of superior vena cava stenting.
Intravascular stenting of the superior vena cava (SVC) is an established therapy in patients with SVC syndrome. Late complications include re-occlusion, stent infection, migration, and perforation. Affection of the greater thoracic vessels is rare and life-threatening when it occurs. We present a case of ascending aorta laceration as a late complication of SVC stenting. Surgical therapy included excision of the aortic lesion and pericardial patch repair. This case illustrates successful management of a complication after palliative stenting of the SVC.
Department of Cardiac Surgery, University of Technology Dresden, Dresden, Germany. M.Weber@herzzentrum-dresden.com
U
U
Kappert
C G
CG
Schulz
T
T
Waldow
S M
SM
Tugtekin
C
C
Alexiou
K
K
Matschke
D000368:Aged; D017541:Aneurysm, False / Q000209:etiology; D001011:Aorta / Q000293:injuries* / Q000601:surgery; D001018:Aortic Diseases / Q000209:etiology* / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects* / Q000295:instrumentation; D006801:Humans; D008297:Male; D011475:Prosthesis Failure; D012086:Reoperation; D015607:Stents / Q000009:adverse effects*; D013479:Superior Vena Cava Syndrome / Q000601:surgery*