title: Rapid Aneurysmal Sac Expansion Following Endovascular Repair of a Dissecting Thoracoabdominal Aneurysm.
abstract: Endovascular repair of dissecting thoracoabdominal aneurysms (TAAA) is challenging and often requires multiple procedures. A 61-year-old man with a dissecting type-II TAAA treated first by placement of a thoracic endograft, and subsequently implantation of a fenestrated endograft. Six months postoperatively, a 10-mm increase of the aorta was observed. A reentry tear in left external iliac artery (EIA) was perfusing the false lumen in a retrograde fashion connecting with the endoleak caused by the inferior mesenteric artery and lumbar arteries. False lumen embolization of the left EIA and outflow vessels was performed. Thrombosis and rapid decrease of false lumen diameter was then observed. This case illustrates the complexity of endovascular management of extensive chronic aortic dissections.
authors.affiliation: Aortic Center, Hôpital Cardiologique, CHRU Lille, Lille, France; Servicio de Angiología, Cirugía Vascular y Endovascular, Hospital Doctor Peset, Valencia, Spain. Electronic address: pbargay1798@gmail.com.
authors.forename: Pau
authors.initials: P
authors.lastname: Bargay-Juan
authors.affiliation: Aortic Center, Hôpital Cardiologique, CHRU Lille, Lille, France.
authors.forename: Teresa
authors.initials: T
authors.lastname: Martin-Gonzalez
authors.affiliation: Aortic Center, Hôpital Cardiologique, CHRU Lille, Lille, France.
authors.forename: Rachel
authors.initials: R
authors.lastname: Clough
authors.affiliation: Aortic Center, Hôpital Cardiologique, CHRU Lille, Lille, France.
authors.forename: Rafaëlle
authors.initials: R
authors.lastname: Spear
authors.affiliation: Aortic Center, Hôpital Cardiologique, CHRU Lille, Lille, France.
authors.forename: Jonathan
authors.initials: J
authors.lastname: Sobocinski
authors.affiliation: Aortic Center, Hôpital Cardiologique, CHRU Lille, Lille, France.
authors.forename: Stephan
authors.initials: S
authors.lastname: Haulon
mesh_terms: D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects* / Q000295:instrumentation; D000072226:Computed Tomography Angiography; D004621:Embolization, Therapeutic; D057867:Endoleak / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D057510:Endovascular Procedures / Q000009:adverse effects* / Q000295:instrumentation; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents; D013997:Time Factors; D016896:Treatment Outcome