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Case Reports
. 2017 Jun;12(2):194-198.
doi: 10.5114/wiitm.2017.67677. Epub 2017 May 12.

An unusual case of aortic rupture after deployment of a bare stent in the treatment of aortic dissection in a patient with giant-cell arteritis

Pawel Rynio  1 , Arkadiusz Kazimierczak  1 , Piotr Gutowski  1 , Miloslaw Cnotliwy  1
Affiliations
Case Reports

An unusual case of aortic rupture after deployment of a bare stent in the treatment of aortic dissection in a patient with giant-cell arteritis

Pawel Rynio et al. Wideochir Inne Tech Maloinwazyjne. 2017 Jun.

Abstract

Giant-cell arteritis is associated with a higher risk of aortic aneurysm and aortic dissection formation. We present a women with aortic dissection type B treated with a stent graft and bare-metal stent implantation. After the stent deployment we noticed aortic rupture, which was successfully treated with implantation of an additional stent graft. This report highlights the difficulty of endovascular therapy in patients with giant-cell arteritis. We have to bear in mind that chronic inflammation of the aorta leads to a more fragile aortic wall than normal. We recommend the use of a stent graft over a bare-metal stent and gentle use of a balloon catheter.

Keywords: aortic dissection; aortic rupture; endovascular treatment; giant-cell arteritis; petticoat; stent graft.

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Figures

Photo 1
Photo 1
3D reconstruction showing patent false lumen
Photo 2
Photo 2
Angiography after bare stent deployment showing aortic rupture
Photo 3
Photo 3
Angiography showing residual bruise after additional stent graft implantation
See this image and copyright information in PMC

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