Early complication after hybrid thoracic aortic aneurysm repair.
This brief report describes an unusual hybrid approach complication of aortic arch disease. An acute stent kinking in the first post-operative day promoted ventricular fibrillation and death. Adequate oversizing was achieved and intraoperative angiogram showed no proximal or distal leaks. Unfavorable outcomes are highly under-reported and describing complications are a key instrument to improve this technique.
Palma
José Honório
JH
Federal University of São Paulo, Paulista School of Medicine, São Paulo, Brazil.
Guilhen
José Stocco
JS
Gaia
Diego Felipe
DF
Buffolo
Enio
E
D000497:Alloys; D000714:Anastomosis, Surgical; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects* / Q000295:instrumentation; D017809:Fatal Outcome; D005548:Foreign-Body Migration / Q000150:complications* / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D011093:Polyethylene Terephthalates; D011474:Prosthesis Design; D011475:Prosthesis Failure; D015607:Stents; D013249:Sternum / Q000601:surgery; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014693:Ventricular Fibrillation / Q000209:etiology*
D000497:Alloys; D011093:Polyethylene Terephthalates; C013616:nitinol