Penetrating atherosclerotic ulcer of the descending thoracic aorta: Treatment by endovascular stent-Graft

1998 ◽  
Vol 21 (6) ◽  
pp. 454-458 ◽  
Author(s):  
Salvatore Murgo ◽  
Luc Dussaussois ◽  
Jafar Golzarian ◽  
Jean Christophe Cavenaile ◽  
Hicham Tarik Abada ◽  
...  
Keyword(s):  
Thoracic Aorta ◽  
Stent Graft ◽  
Endovascular Stent ◽  
Descending Thoracic Aorta ◽  
Penetrating Atherosclerotic Ulcer ◽  
Endovascular Stent Graft

Endovascular Stent-Graft Treatment of a Ruptured Thoracic Aortic Ulcer

2002 ◽  
Vol 9 (2_suppl) ◽  
pp. II-20-II-24 ◽  
Author(s):  
Peter L. Faries ◽  
Elvira Lang ◽  
Pranay Ramdev ◽  
Larry H. Hollier ◽  
Michael L. Marin ◽  
...  
Keyword(s):  
Thoracic Aorta ◽  
Stent Graft ◽  
Chronic Obstructive ◽  
Endovascular Stent ◽  
Descending Thoracic Aorta ◽  
Obstructive Pulmonary Disease ◽  
Endovascular Stent Graft ◽  
Nitinol Stents ◽  
Penetrating Ulcer ◽  
Stent Graft Repair

Purpose: To describe a ruptured ulcer of the descending thoracic aorta treated with an endovascular stent-graft deployed under transesophageal echocardiographic (TEE) guidance. Case Report: An 82-year-old man with severe chronic obstructive pulmonary disease and congestive heart failure presented with sharp pain in the back radiating to the left flank. Computed tomography (CT) and angiography demonstrated a penetrating ulcer of the descending thoracic aorta associated with aortic dissection commencing 6 cm from the origin of the left subclavian artery with extravasation of contrast outside the aortic wall. The patient remained symptomatic with a decrease in hematocrit from 36% to 23%. Endovascular repair was performed using self-expanding nitinol stents sutured to a 35-mm × 12-cm Dacron conduit. The device was deployed with a 24-F delivery system under TEE guidance and fluoroscopy. Successful exclusion of the ruptured ulcer was demonstrated by TEE Doppler, arteriography, and CT. The patient remains asymptomatic 18 months after the procedure with no CT evidence of endoleak. Conclusions: Endovascular stent-graft repair under TEE guidance assists in the oftentimes difficult treatment of ruptured penetrating thoracic aortic ulcer.

scholarly journals Endovascular stent-graft repair of complicated penetrating atherosclerotic ulcers of the descending thoracic aorta

2002 ◽  
Vol 36 (4) ◽  
pp. 720-726 ◽  
Author(s):  
Maria Schoder ◽  
Martin Grabenwöger ◽  
Thomas Hölzenbein ◽  
Hans Domanovits ◽  
Dominik Fleischmann ◽  
...  
Keyword(s):  
Thoracic Aorta ◽  
Stent Graft ◽  
Endovascular Stent ◽  
Descending Thoracic Aorta ◽  
Endovascular Stent Graft ◽  
Stent Graft Repair ◽  
Endovascular Stent Graft Repair

Endovascular stent-graft placement for acute and contained rupture of the descending thoracic aorta

2005 ◽  
Vol 66 (4) ◽  
pp. 474-482 ◽  
Author(s):  
Holger Eggebrecht ◽  
Axel Schmermund ◽  
Ulf Herold ◽  
Dietrich Baumgart ◽  
Stefan Martini ◽  
...  
Keyword(s):  
Thoracic Aorta ◽  
Stent Graft ◽  
Endovascular Stent ◽  
Descending Thoracic Aorta ◽  
Endovascular Stent Graft ◽  
Graft Placement

Endovascular Stent-Graft Repair of a Complicated Penetrating Ulcer of the Descending Thoracic Aorta: A Word of Caution

2003 ◽  
Vol 10 (5) ◽  
pp. 928-931 ◽  
Author(s):  
Giuseppe D'Ancona ◽  
Richard Bauset ◽  
Jean-Pierre Normand ◽  
Roc Turcotte ◽  
François Dagenais
Keyword(s):  
Thoracic Aorta ◽  
Stent Graft ◽  
Aortic Wall ◽  
Balloon Dilation ◽  
Endovascular Stent ◽  
Descending Thoracic Aorta ◽  
Endovascular Stent Graft ◽  
Penetrating Ulcer ◽  
Stent Graft Repair ◽  
Endovascular Stent Graft Repair

Purpose: To report a pitfall encountered during stenting of a complicated penetrating ulcer of the descending thoracic aorta. Case Report: A 65-year-old man was diagnosed with a complicated penetrating ulcer of the thoracic aorta. A 38-mm Talent endograft was implanted. On balloon dilation of the distal end of the endoprosthesis, the terminal bare stent became distorted and penetrated the aortic wall. A 42-mm endoprosthesis was immediately placed to exclude the aortic perforation. Control aortography demonstrated exclusion of the original proximal aortic ulcer and the distal iatrogenic aortic tear. Conclusions: Endoprostheses may present some drawbacks in terms of elasticity and adaptability to tortuous and angulated diseased aortas. Caution is advised in the treatment of penetrating aortic ulcers where the aortic wall is diffusely friable. In this condition, balloon dilation should be limited to the covered portion of the stent-graft to prevent stent distortion and erosion through the aortic wall.

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