title: Endovascular treatment of iatrogenic aortic graft injury after sternal puncture.
abstract: We report the case of a 71-year old woman who had previously undergone supra-aortic trunk transposition via a median sternotomy, along with endovascular thoracic aortic stent-graft repair. During the diagnostic sternal puncture for a recently discovered acute lymphoblastic leukaemia, an accidental graft injury occurred. For this patient, who was not a surgical candidate, endovascular treatment with a covered stent (endograft) was performed, with uneventful postoperative follow-up. This case report illustrates the limitations of sternal puncture in patients with a previous sternotomy, and discusses the possibility of endovascular treatment in the event of aortic graft injury, given easy accessibility and favourable aortic neck anatomy.
authors: Department of Cardio-Vascular Surgery, University Hospital of Angers, Angers, France.
authors: Mickael
authors: M
authors: Daligault
authors: Department of Cardio-Vascular Surgery, University Hospital of Angers, Angers, France CNRS UMR 6214, INSERM 1083, University of Angers, Angers, France frpinaud@chu-angers.fr.
authors: Frédéric
authors: F
authors: Pinaud
authors: Department of Cardio-Vascular Surgery, University Hospital of Angers, Angers, France.
authors: Thierry
authors: T
authors: Merlini
authors: Department of Cardio-Vascular Surgery, University Hospital of Angers, Angers, France.
authors: Jean
authors: J
authors: Picquet
mesh_terms: D000368:Aged; D001013:Aorta, Thoracic / Q000293:injuries / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D057510:Endovascular Procedures / Q000379:methods*; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D011184:Postoperative Period; D011677:Punctures / Q000009:adverse effects*; D013249:Sternum / Q000293:injuries*; D013898:Thoracic Injuries / Q000601:surgery*; D014950:Wounds, Penetrating / Q000601:surgery*
keywords: Aortic arch; Endovascular procedure; Penetrating trauma