Symptomatic collapse of a thoracic aorta endoprosthesis.
We present the case of a 40-year-old man who underwent aortic endoprosthesis implantation for a traumatic lesion of the thoracic aorta (Gore TAG, 26 x 100 mm, after the instructions for use for a thoracic aorta of 22-24 mm). At 6 months, he came to the emergency room for a hypertensive crisis and acute pulmonary edema. The chest radiograph and thoracoabdominal computed tomographic angiography study showed collapse of the endoprosthesis and a type I proximal leak. A second TAG graft was inserted within the previously collapsed device, and re-expansion was achieved, with resolution of the initial symptoms. At 3 and 6 months, the patient remained asymptomatic, and there were no new findings on computed tomographic angiography.
Mestres
Gaspar
G
Department of Angiology, Vascular and Endovascular Surgery, Hospital Universitari Vall d'Hebron, Universitat Autonoma de Barcelona, Barcelona, Spain. 38370gma@comb.es
Maeso
Jordi
J
Fernandez
Valentin
V
Matas
Manel
M
D000328:Adult; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000601:surgery*; D000792:Angiography; D001013:Aorta, Thoracic / Q000293:injuries* / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008297:Male; D011475:Prosthesis Failure; D012086:Reoperation; D013406:Suicide, Attempted; D014057:Tomography, X-Ray Computed