title: Iatrogenic intercostal artery aneurysm following Fogarty balloon occlusion in open thoracoabdominal aneurysm repair.
abstract: Open thoracoadbominal aortic aneurysm (TAAA) treatment presents a high complication rate such as spinal cord ischemia. Surgical technique includes the temporary occlusion of intercostal arteries with a balloon. In rare cases, the arterial injury can lead to development of an intercostal artery aneurysms (ICAA), probably because of a thin artery wall and a too high insufflation pressure. The aim of this study was to report the case of a 78-year-old woman, who underwent an open type-II TAAA repair and developed an asymptomatic 11-mm ICAA. According to the diameter, we successfully treated the patient with platinum coils, obtaining the complete aneurysm exclusion and an uneventful recovery.
authors.affiliation: Vascular and Endovascular Surgery Unit, University Hospital IRCCS San Martino-IST, University of Genoa, Genova, Italy.
authors.forename: Francesco
authors.initials: F
authors.lastname: Mongelli
authors.affiliation: Vascular and Endovascular Surgery Unit, University Hospital IRCCS San Martino-IST, University of Genoa, Genova, Italy.
authors.forename: Bianca
authors.initials: B
authors.lastname: Pane
authors.affiliation: Vascular and Endovascular Surgery Unit, University Hospital IRCCS San Martino-IST, University of Genoa, Genova, Italy. Electronic address: spinella.giovannisg@gmail.com.
authors.forename: Giovanni
authors.initials: G
authors.lastname: Spinella
authors.affiliation: Vascular and Endovascular Surgery Unit, University Hospital IRCCS San Martino-IST, University of Genoa, Genova, Italy.
authors.forename: Domenico
authors.initials: D
authors.lastname: Palombo
mesh_terms: D000368:Aged; D017541:Aneurysm, False / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis / Q000601:surgery*; D021721:Balloon Occlusion / Q000009:adverse effects* / Q000295:instrumentation; D019917:Blood Vessel Prosthesis Implantation; D004621:Embolization, Therapeutic; D004867:Equipment Design; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D062666:Vascular Access Devices; D057772:Vascular System Injuries / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy