Kosin Med J.  2022 Mar;37(1):89-92. 10.7180/kmj.21.047.

Emergency rescue stent grafting for a ruptured degenerated graft that bypassed coarctation of the aorta: a case report

Affiliations
  • 1Department of Thoracic and Cardiovascular Surgery, Daejeon Eulji University Hospital, Eulji University School of Medicine, Daejeon, Korea
  • 2Department of Thoracic and Cardiovascular Surgery, Dongguk University Ilsan Hospital, Dongguk University School of Medicine, Ilsan, Korea
  • 3Department of Thoracic and Cardiovascular Surgery, Kosin University Gospel Hospital, Kosin University College of Medicine, Busan, Korea

Abstract

A 33-year-old man who had undergone bypass from the distal aortic arch to the proximal descending thoracic aorta with a Dacron graft to treat coarctation of the aorta 20 years prior presented to the emergency department with massive hemoptysis. He was diagnosed with a graft-to-bronchial fistula. After thoracic endovascular aneurysm repair through the coarctation, aortic replacement was performed 3 weeks later. Therefore, emergency-rescue thoracic endovascular aneurysm repair can be considered for preventing aortic rupture.

Keyword

Case reports; Coarctation of aorta; Dacron; Endovascular procedures; Ruptured aortic aneurysm

Figure

  • Fig. 1. Computed tomography scans from 8 years ago (A) and at presentation (B). Twisted graft with aneurysmal change at the rupture spot (arrow in C).

  • Fig. 2. Computed tomography (CT) scan after thoracic endovascular aneurysm repair, without any definite endoleak (A). The new Dacron graft in the operative findings (B) and a postoperative CT scan (C).


Reference

References

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