title: Endovascular Treatment for Proximal Anastomotic Pseudoaneurysm after Total Arch Replacement in Behcet's Disease.
abstract: A 17-year-old patient underwent total arch replacement for aortic arch aneurysm due to vascular Behcet's disease (BD). Follow-up computed tomography, performed 6 months after the operation, demonstrated pseudoaneurysm formation at the proximal anastomotic site. We performed endovascular treatment and used a short stent graft that was originally designed for abdominal aortic aneurysm. To avoid the occlusion of the coronary or brachiocephalic artery (BCA) due to stent graft migration, we used right ventricular rapid pacing and BCA ballooning. Thus, we believe that endovascular treatment can be used for anastomotic complications in the ascending aorta after open surgery for connective tissue disorders including BD.
authors.affiliation: Department of Cardiovascular Surgery, Chiba University Hospital, Chiba, Japan. Electronic address: bpbck570@ybb.ne.jp.
authors.forename: Tomoki
authors.initials: T
authors.lastname: Sakata
authors.affiliation: Department of Cardiovascular Surgery, Chiba University Hospital, Chiba, Japan.
authors.forename: Hideki
authors.initials: H
authors.lastname: Ueda
authors.affiliation: Department of Cardiovascular Surgery, Chiba University Hospital, Chiba, Japan.
authors.forename: Michiko
authors.initials: M
authors.lastname: Watanabe
authors.affiliation: Department of Cardiovascular Surgery, Chiba University Hospital, Chiba, Japan.
authors.forename: Hiroki
authors.initials: H
authors.lastname: Kohno
authors.affiliation: Department of Cardiovascular Surgery, Chiba University Hospital, Chiba, Japan.
authors.forename: Yusaku
authors.initials: Y
authors.lastname: Tamura
authors.affiliation: Department of Cardiovascular Surgery, Chiba University Hospital, Chiba, Japan.
authors.forename: Shinichiro
authors.initials: S
authors.lastname: Abe
authors.affiliation: Department of Cardiovascular Surgery, Chiba University Hospital, Chiba, Japan.
authors.forename: Yuichi
authors.initials: Y
authors.lastname: Inage
authors.affiliation: Department of Cardiovascular Surgery, Chiba University Hospital, Chiba, Japan.
authors.forename: Hiroki
authors.initials: H
authors.lastname: Ikeuchi
authors.affiliation: Department of Cardiovascular Surgery, Chiba University Hospital, Chiba, Japan.
authors.forename: Tomoyoshi
authors.initials: T
authors.lastname: Kanda
authors.affiliation: Department of Cardiovascular Surgery, Chiba University Hospital, Chiba, Japan.
authors.forename: Masahiko
authors.initials: M
authors.lastname: Fujii
authors.affiliation: Department of Cardiovascular Surgery, Chiba University Hospital, Chiba, Japan.
authors.forename: Goro
authors.initials: G
authors.lastname: Matsumiya
mesh_terms: D000293:Adolescent; D000714:Anastomosis, Surgical; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001528:Behcet Syndrome / Q000150:complications* / Q000175:diagnosis; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects* / Q000295:instrumentation; D057510:Endovascular Procedures / Q000295:instrumentation; D005260:Female; D006801:Humans; D011474:Prosthesis Design; D012086:Reoperation; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome