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. 2015 Jul 8:10:94.
doi: 10.1186/s13019-015-0304-z.

Case-report: endovascular treatment of aortic pseudo-aneurysm caused by Fishbone

Wei Wang  1 , Xuesong Liu  2 , Mingjun Lu  3
Affiliations

Case-report: endovascular treatment of aortic pseudo-aneurysm caused by Fishbone

Wei Wang et al. J Cardiothorac Surg. .

Abstract

Aortic pseudo-aneurysm (APA) is a rare disease in clinic. Because of its relative rarity, we are far from making any conclusion regarding the natural history and appropriate therapeutic strategy for this condition. This study is to investigate the treatment effect of interventional therapy in aortic pseudo-aneurysm. A woman of 68 years old diagnosed with APA caused by fishbone was treated with stent grafts. After treatment, the therapeutic effect was assessed by measuring the size of trauma. The patient recovered well after stent grafts treatment, as her trauma was minimal. However, some complications of intravascular interventional treatment were observed. Compared with conventional surgery, interventional therapy of intravascular stent grafts has its merits. Therefore, this strategy was worthy to apply in the treatment of aortic pseudo-aneurysm.

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Figures

Fig. 1
Fig. 1
Radiological examination. One oval-like soft tissue density mass on aortic arch in upper right mediastinum
Fig. 2
Fig. 2
Three-dimensional computed tomography images for the shape of pseudoaneurysm on aortic arch, with a size of 2.9 × 4.3 × 2.6 cm. L: left side, R: right side
Fig. 3
Fig. 3
The determination of treatment effect by comparing. a. DSA angiography before intravascular graft exclusion for thoracic aortic pseudoaneurysm (Left) and angiography after operation (Right); b. Reexamination by Chest CT 6 days after operation
See this image and copyright information in PMC

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