title: Endovascular stent-graft repair as a late secondary procedure after previous aortic grafts.
abstract: Thoracic and abdominal aortic endovascular procedures as alternatives to aortic reoperations were studied in three different cases. An anastomotic aneurysm after previous thoracic aortic graft for coarctation, a second-stage elephant trunk repair (descending thoracic aortic aneurysm), and a secondary aneurysm proximal to a previous abdominal aortic graft were successfully treated with endovascular stent-grafts. During the follow-up period no lethal events or major aortic or graft-related complications were observed, except a type II endoleak in the anastomotic aortic aneurysm case. An endovascular stent-graft can be safely deployed into a previously implanted vascular graft, avoiding repeat surgery.
authors.affiliation: Department of Surgery - Vascular Surgery Unit, School of Medicine, University of Ioannina, University Avenue, 45500 Ioannina, Greece. mimats@cc.uoi.gr
authors.forename: Miltiadis I
authors.initials: MI
authors.lastname: Matsagas
authors.forename: Constantine E
authors.initials: CE
authors.lastname: Anagnostopoulos
authors.forename: John C
authors.initials: JC
authors.lastname: Papakostas
authors.forename: Joseph J
authors.initials: JJ
authors.lastname: DeRose
authors.forename: Stavros
authors.initials: S
authors.lastname: Siminelakis
authors.forename: Christos S
authors.initials: CS
authors.lastname: Katsouras
authors.forename: Ioannis K
authors.initials: IK
authors.lastname: Toumpoulis
authors.forename: George E
authors.initials: GE
authors.lastname: Drossos
authors.forename: Lampros K
authors.initials: LK
authors.lastname: Michalis
mesh_terms: D000328:Adult; D000368:Aged; D000792:Angiography; D001013:Aorta, Thoracic / Q000601:surgery*; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D012086:Reoperation; D015607:Stents; D013518:Surgery, Plastic