title: Aortic arch redo surgery for endograft migration and premature thrombosis of debranching graft.
abstract: Background Thoracic endovascular aortic repair (TEVAR) has become the treatment of choice in the management of the aortic arch and descending aorta diseases. Thrombosis is a common reason for vascular graft failure, but there is no consensus on the anticoagulation management after placement of vascular graft. Case Description A 21-year-old patient with traumatic rupture of aortic isthmus underwent redo open surgery for two successive complications: stent-graft migration and premature debranching prosthesis thrombosis. Conclusion Open surgery remains an efficient approach when TEVAR is contraindicated or failed. Postoperatively pharmacological prophylaxis against vascular grafts' thrombosis should be emphasized.
authors.affiliation: Department of Cardiovascular Surgery and Heart Transplantation, University of Lorraine, Vandoeuvre-Les-Nancy, France.
authors.forename: Yihua
authors.initials: Y
authors.lastname: Liu
authors.affiliation: Department of Cardiovascular Surgery and Heart Transplantation, University of Lorraine, Vandoeuvre-Les-Nancy, France.
authors.forename: Pablo
authors.initials: P
authors.lastname: Maureira
authors.affiliation: Department of Cardiovascular Surgery and Heart Transplantation, University of Lorraine, Vandoeuvre-Les-Nancy, France.
authors.forename: Thiery
authors.initials: T
authors.lastname: Folliguet
authors.affiliation: Department of Cardiovascular Surgery and Heart Transplantation, University of Lorraine, Vandoeuvre-Les-Nancy, France.
authors.forename: Jean-Pierre
authors.initials: JP
authors.lastname: Villemot
keywords: aortic disease; coagulation/anticoagulation; endovascular procedures/stents