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Aortic dissection in the setting of an infrarenal endoprosthesis: a fatal combination

Stephan Haulon1, Roy K Greenberg, Jamal Khwaja

  • 1Department of Vascular Surgery, Cleveland Clinic Foundation, Ohio, 44195, USA.

Journal of Vascular Surgery
|November 7, 2003
PubMed

Insights

A rare complication following abdominal aortic endovascular graft repair occurred when a patient experienced acute aortic dissection. This dissection led to a lack of outflow and fatal distal aortic blood flow obstruction.

Area of Science:

  • Vascular Surgery
  • Cardiovascular Research
  • Medical Device Technology

Background:

  • Endovascular aortic aneurysm repair (EVAR) is a common procedure for abdominal aortic aneurysms.
  • Graft complications can arise, necessitating ongoing surveillance and research into potential failure modes.

Observation:

  • A patient developed an acute aortic dissection approximately six months post-EVAR.
  • The dissection's false lumen extended into the excluded aneurysm sac, impeding normal blood flow.

Findings:

  • The dissection resulted in a critical lack of outflow from the graft.
  • Severe compression of the true lumen occluded distal aortic blood flow, leading to patient mortality.

Implications:

  • This case highlights a rare but fatal complication of EVAR, emphasizing the need for vigilance.
  • Further research is warranted to understand and mitigate risks associated with endovascular graft integrity and aortic dissection post-procedure.

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