Endovascular treatment of a symptomatic suture aneurysm caused by an aortic isthmus restenosis.
After operative treatment of aortic isthmus stenoses, late complications, such as aneurysm formation or aortic restenosis, might occur, with relevant morbidity and mortality rates during open surgical reintervention. We report on the endovascular repair of a symptomatic suture aneurysm caused by an aortic isthmus restenosis by thoracic aortic stent graft implantation and additional intraoperative balloon dilatation. Based on our experience, endovascular repair of thoracic aortic aneuryms caused by native aortic isthmus stenosis or postcoarctation restenosis is a valuable treatment option, especially in symptomatic patients with an imminent risk of rupture or a difficult immediate transthoracic surgical approach. Long-term follow-up is required to assess the durability of the stent graft treatment.
Kopp
Reinhard
R
Department of General, University of Munich, Munich, Germany. reinhard.kopp@med.uni-muenchen.de
Kreuzer
Eckart
E
Oberhoffer
Martin
M
Herrmann
Karin Anna
KA
Jauch
Karl-Walter
KW
Reichart
Bruno
B
D017545:Aortic Aneurysm, Thoracic / Q000209:etiology / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000150:complications* / Q000000981:diagnostic imaging; D006083:Graft Occlusion, Vascular / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D012008:Recurrence; D013537:Sutures; D014057:Tomography, X-Ray Computed