Spontaneous re-expansion of a collapsed thoracic endoprosthesis: case report.
A 43-year-old woman with a type B aortic dissection underwent insertion of a Zenith stent graft (Cook Inc, Bloomington, Ind). Chest pain developed 36 hours after the procedure. A computed tomography scan showed reopening of the false proximal lumen and almost complete device collapse. Because of hemodynamic stability and absence of signs of malperfusion, the patient was treated conservatively. A control computed tomography scan 7 days later showed full re-expansion of the endoprosthesis. This case illustrates that in extremely rare cases, spontaneous reexpansion of a collapsed thoracic endoprosthesis can occur after conservative management.
Pontón
Alejandro
A
Department of Cardiovascular Surgery, Hospital Universitario Marqués de Valdecilla, Santander, Spain. aponton@comcantabria.es
García
Iván
I
Arnáiz
Elena
E
Bernal
José M
JM
D000328:Adult; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D011475:Prosthesis Failure; D012075:Remission, Spontaneous; D015607:Stents; D014057:Tomography, X-Ray Computed