[Aortic stent migration: a rare complication after endovascular repair].
Migration of an aortic stent is one of the most serious complications that can occur during follow-up after endovascular repair of an abdominal aortic aneurysm. We report the case of a 75-year-old man who underwent endovascular treatment for an infra-renal aortic aneurysm using an aorto-mono-iliac stent associated to a femoro-femoral bypass. The angiography performed at the end of procedure showed complete exclusion of the aneurysm. The postoperative course was uneventful. CT scans at 1, 6 and 12 months were normal. The CT scan at the 18th month showed a proximal migration of the stent, which was complicated by a type 1 endoleak and a stent disjunction with a type 3 endoleak. Revision surgery was indicated but the patient died from aneurismal rupture pending treatment. The migration of an aortic stent is a rare but serious complication of endovascular aneurysmal repair. Prevention requires a precise anatomical selection and adequate deployment of the stent graft.
Service de chirurgie cardiovasculaire et thoracique La Rabta, Tunis, Tunisie; Faculté de médecine de Tunis, université de Tunis, El Manar, Tunisie.
K
K
Kaouel
Service de chirurgie cardiovasculaire et thoracique La Rabta, Tunis, Tunisie; Faculté de médecine de Tunis, université de Tunis, El Manar, Tunisie. Electronic address: benhammamiamohamed@yahoo.com.
M
M
Ben Hammamia
Service de chirurgie cardiovasculaire et thoracique La Rabta, Tunis, Tunisie; Faculté de médecine de Tunis, université de Tunis, El Manar, Tunisie.
M
M
Ben Mrad
Service de chirurgie cardiovasculaire et thoracique La Rabta, Tunis, Tunisie; Faculté de médecine de Tunis, université de Tunis, El Manar, Tunisie.
J
J
Laaribi
Service de chirurgie cardiovasculaire et thoracique La Rabta, Tunis, Tunisie; Faculté de médecine de Tunis, université de Tunis, El Manar, Tunisie.
S
S
Ben Omrane
Service de chirurgie cardiovasculaire et thoracique La Rabta, Tunis, Tunisie; Faculté de médecine de Tunis, université de Tunis, El Manar, Tunisie.
N
N
Elleuch
Service de chirurgie cardiovasculaire et thoracique La Rabta, Tunis, Tunisie; Faculté de médecine de Tunis, université de Tunis, El Manar, Tunisie.
R
R
Denguir
Service de chirurgie cardiovasculaire et thoracique La Rabta, Tunis, Tunisie; Faculté de médecine de Tunis, université de Tunis, El Manar, Tunisie.
T
T
Kalfat
Service de chirurgie cardiovasculaire et thoracique La Rabta, Tunis, Tunisie; Faculté de médecine de Tunis, université de Tunis, El Manar, Tunisie.
A
A
Khayati
D000368:Aged; D000714:Anastomosis, Surgical; D017542:Aneurysm, Ruptured / Q000209:etiology; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery; D001027:Aortography; D019917:Blood Vessel Prosthesis Implantation; D057510:Endovascular Procedures / Q000295:instrumentation*; D004868:Equipment Failure; D017809:Fatal Outcome; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology*; D012422:Rupture, Spontaneous; D015607:Stents / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed; D014656:Vascular Surgical Procedures
Aneurysm; Anévrisme; Aorta; Aorte; Endofuite; Endograft; Endoleak; Endoprothèse; Migration