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Case Reports
. 2019;25(3):163-166.
doi: 10.33529/ANGIO2019321.

[Djumbodis stent migration in a patient with aortic dissection]

[Article in Russian]
D A Sirota  1 , D S Khvan  1 , M M Lyashenko  1 , S A Alsov  1 , A M Chernyavsky  1
Affiliations
Case Reports

[Djumbodis stent migration in a patient with aortic dissection]

[Article in Russian]
D A Sirota et al. Angiol Sosud Khir. 2019.

Abstract
in English, Russian

Treatment of patients presenting with type I aortic dissection is known to be a surgical challenge. The Djumbodis bare metal stent was developed to ease the burden of a reconstructive intervention on the aortic arch, to decrease the duration of the operation, and to minimize complications associated with artificial circulation. Currently, insufficiently explored remains the problem of complications occurring due to the technological fatigue of the metal and possible stent migration. Described herein is a clinical case report regarding migration of a Djumbodis stent, diagnosed 6 months after implantation for DeBakey type I acute aortic dissection. We revealed dislocation of the stent's distal portion with fenestration of the membrane of the true channel and perfusion of the false channel, as well as fractured fragments of the stent. The patient underwent repeat 'open' intervention.

Лечение больных с острым расслоением аорты I типа является сложной хирургической проблемой. В целях облегчения тяжести реконструктивного вмешательства на дуге аорты, сокращения времени операции и минимизации осложнений, связанных с искусственным кровообращением, разработан непокрытый металлический стент Djumbodis. В настоящее время остается малоизученным вопрос осложнений, обусловленных технологической усталостью металла и возможной миграцией стента. Представлено клиническое наблюдение миграции стента Djumbodis, диагностированной через 6 месяцев после его имплантации по поводу острого расслоения аорты I типа по Дебейки. Выявлены дислокация дистальной части стента с фенестрацией мембраны истинного канала и перфузией ложного канала, а также перелом фрагментов стента. Выполнено повторное 'открытое' вмешательство.

Keywords: aortic dissection; bare metal stent; hybrid operations; repeat interventions.

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References

    1. Ehrlich MP, Ergin MA, McCullough JN, et al. Results of immediate surgical treatment of all acute type A dissections. Circulation. 2000; 102: 248–252.
    1. Chernyavskii AM, Lyashenko MM, Al'sov SA, et al. Gibridnyi podkhod v khirurgii rassloenii aorty proksimal'nogo tipa (in Russian). Angiologiya i sosudistaya khirurgiya. 2014; 20: 3: 41-47.
    1. Di Bartolomeo R, Di Marco L, Armaro A, et al. Treatment of complex disease of the thoracic aorta: the frozen elephant trunk technique with the E-vita open prosthesis. Eur. J. Cardiothorac. Surg. 2009; 35: 671-676.
    1. Komarov RN, Belov YuV, Karavaikin PA, et al. Sochetanie stentirovaniya aorty golometallicheskim stentom Djumbodis® Dissection System s protezirovaniem voskhodyashchei aorty i dugi v khirurgicheskom lechenii rassloeniya I tipa (in Russian). Patologiya krovoobrashcheniya i kardiokhirurgiya. 2016; 20: 4: 66-75.
    1. Wong RH, Yu SC, Lau RW, et al. Delayed stent deformity and fracture of Djumbodis dissection system. Ann. Thorac. Surg. 2014; 97: 1: e17-e20.

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