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Case Reports
. 2007 Summer;16(2):73-6.
doi: 10.1055/s-0031-1278253.

Successful endovascular management of an aortic rupture following stent placement for severe atherosclerotic stenosis: A case report

Thomas L Chung  1 , Dipankar Mukherjee
Affiliations
Case Reports

Successful endovascular management of an aortic rupture following stent placement for severe atherosclerotic stenosis: A case report

Thomas L Chung et al. Int J Angiol. 2007 Summer.

Abstract

Aortic rupture during endovascular procedures is a devastating complication that mandates expedient intervention. The present report describes a case in which endovascular treatment was used to successfully manage an aortic rupture following placement of a covered stent graft for severe infrarenal aortic stenosis. Successful management of this case was the result of the procedure being performed in an operating room under appropriate anesthesia and close hemodynamic monitoring. Bilateral common femoral arterial access and use of covered aortic stent grafts also contributed to a favourable outcome.

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Figures

Figure 1
Figure 1
Preoperative computed tomography angiography demonstrating severe calcific stenosis of the distal aorta
Figure 2
Figure 2
Intraoperative aortography and pelvis arteriography
Figure 3
Figure 3
Angiography revealing an extravasation at the mid-portion of repair
Figure 4
Figure 4
Resolution of the aortic leak with an overlying covered stent
See this image and copyright information in PMC

References

    1. Qvarfordt PG, Reilly LM, Sedwitz MM, Ehrenfeld WK, Stoney RJ. “Coral reef” atherosclerosis of the suprarenal aorta: A unique clinical entity”. J Vasc Surg. 1984;1:903–9. - PubMed
    1. Schulte KM, Reiher L, Grabitz L, Sandmann W. Coral reef aorta: A long-term study of 21 patients. Ann Vasc Surg. 2000;14:626–33. - PubMed
    1. Yilmaz S, Sindel T, Yegin A, Erdogan A, Lüleci E. Primary stenting of focal atherosclerotic infrarenal aortic stenoses: Long-term results in 13 patients and a literature review. Cardiovasc Intervent Radiol. 2004;27:121–8. - PubMed
    1. Schedel H, Wissgott C, Rademaker J, Steinkamp HJ. Primary stent placement for infrarenal aortic stenosis: Immediate and midterm results. J Vasc Interv Radiol. 2004;15:353–9. - PubMed
    1. Feugier P, Toursarkissian B, Chevalier JM, Favre JP AURC. Endovascular treatment of isolated atherosclerotic stenosis of the infrarenal abdominal aorta: Long-term outcome. Ann Vasc Surg. 2003;17:375–85. - PubMed

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