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Staged endovascular stent grafts for concurrent mobile/ulcerated thrombi of thoracic and abdominal aorta causing recurrent spontaneous distal embolization.
- Source :
-
Journal of vascular surgery [J Vasc Surg] 2008 Jan; Vol. 47 (1), pp. 193-6. - Publication Year :
- 2008
-
Abstract
- Mobile thrombus of the thoracic aorta is an uncommon pathology with potentially catastrophic complications. Recurrent spontaneous distal embolization may also occur from an ulcerated thrombus of the abdominal aorta. The simultaneous presence of a mobile thrombus in the thoracic aorta and ulcerated thrombus of the abdominal aorta is extremely rare and poses a significant treatment dilemma. Although various approaches have been reported, there is no standard treatment. Direct replacement of the thoracoabdominal aorta is extremely morbid, while continued embolization despite anticoagulation mandate intervention. We herein present the first case report of successful treatment of symptomatic mobile/ulcerated thrombi of the thoracic and abdominal aorta using staged endovascular stent graft repair. Successful treatment of the thoracic component with a thoracic aortic graft (TAG, Gore-Tex, W. L. Gore & Assoc., Flagstaff, Ariz.) was followed one week later by exclusion of the infrarenal aortic lesion with a bifurcated stent graft. Endovascular stent graft exclusion of mobile/ulcerated thoracic and abdominal aortic thrombi is a minimal invasive operation. It can be employed as an alternative procedure in treatment of aortic thrombus with embolization in high risk patients. Long-term follow-up will be necessary to assess the durability of this technique.
- Subjects :
- Aged
Aorta, Abdominal pathology
Aorta, Thoracic pathology
Aortic Diseases complications
Aortic Diseases pathology
Aortography methods
Blood Vessel Prosthesis Implantation methods
Embolism pathology
Embolism surgery
Humans
Male
Minimally Invasive Surgical Procedures instrumentation
Prosthesis Design
Recurrence
Thrombosis complications
Thrombosis pathology
Tomography, X-Ray Computed
Treatment Outcome
Ulcer complications
Ulcer pathology
Ultrasonography, Interventional
Aorta, Abdominal surgery
Aorta, Thoracic surgery
Aortic Diseases surgery
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation instrumentation
Embolism etiology
Stents
Thrombosis surgery
Ulcer surgery
Subjects
Details
- Language :
- English
- ISSN :
- 0741-5214
- Volume :
- 47
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Journal of vascular surgery
- Publication Type :
- Academic Journal
- Accession number :
- 18178473
- Full Text :
- https://doi.org/10.1016/j.jvs.2007.07.050