title: Aortic arch rupture after multiple multilayer stent treatment of a thoracoabdominal aneurysm.
abstract: Despite the improvement in diagnostic and therapeutic strategies, the treatment of thoracoabdominal aneurysms is still burdened with a high incidence of peri/postoperative morbidity and mortality. The multilayer flow modulator is a new and promising technique for the treatment of such disease; however, some limits are still evident. We report the case of a 76-year-old woman affected by a symptomatic thoracoabdominal aneurysm treated with multiple Cardiatis multilayer flow modulators complicated by aortic arch rupture on the fifth postoperative day, with subsequent patient death.
authors.affiliation: Vascular and Endovascular Surgery Unit, Mauriziano Umberto I Hospital, Turin, Italy. Electronic address: emaferrero@libero.it.
authors.forename: Emanuele
authors.initials: E
authors.lastname: Ferrero
authors.affiliation: Vascular and Endovascular Surgery Unit, Mauriziano Umberto I Hospital, Turin, Italy.
authors.forename: Lorenzo
authors.initials: L
authors.lastname: Gibello
authors.affiliation: Vascular and Endovascular Surgery Unit, Mauriziano Umberto I Hospital, Turin, Italy.
authors.forename: Michelangelo
authors.initials: M
authors.lastname: Ferri
authors.affiliation: Vascular and Endovascular Surgery Unit, Mauriziano Umberto I Hospital, Turin, Italy.
authors.forename: Andrea
authors.initials: A
authors.lastname: Viazzo
authors.affiliation: Vascular and Endovascular Surgery Unit, Mauriziano Umberto I Hospital, Turin, Italy.
authors.forename: Franco
authors.initials: F
authors.lastname: Nessi
mesh_terms: D000368:Aged; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D001019:Aortic Rupture / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D001027:Aortography / Q000379:methods; D001344:Autopsy; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects* / Q000295:instrumentation*; D057510:Endovascular Procedures / Q000009:adverse effects* / Q000295:instrumentation*; D017809:Fatal Outcome; D005260:Female; D006439:Hemodynamics; D006801:Humans; D011474:Prosthesis Design; D015607:Stents; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome