Endovascular stent-graft repair as a late secondary procedure after previous aortic grafts.
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.
Matsagas
Miltiadis I
MI
Department of Surgery - Vascular Surgery Unit, School of Medicine, University of Ioannina, University Avenue, 45500 Ioannina, Greece. mimats@cc.uoi.gr
Anagnostopoulos
Constantine E
CE
Papakostas
John C
JC
DeRose
Joseph J
JJ
Siminelakis
Stavros
S
Katsouras
Christos S
CS
Toumpoulis
Ioannis K
IK
Drossos
George E
GE
Michalis
Lampros K
LK
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