Related Experiment Video
Updated: Aug 7, 2026
06:26
Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
Symptomatic collapse of a thoracic aorta endoprosthesis
Gaspar Mestres1, Jordi Maeso, Valentin Fernandez
1Department of Angiology, Vascular and Endovascular Surgery, Hospital Universitari Vall d'Hebron, Universitat Autonoma de Barcelona, Barcelona, Spain. 38370gma@comb.es
Journal of Vascular Surgery
|June 13, 2006
Summary
A thoracic aortic endoprosthesis collapsed, causing a proximal leak and symptoms. A second graft successfully re-expanded the device, resolving the issue and leading to a good outcome.
Area of Science:
- Vascular Surgery
- Cardiovascular Imaging
Background:
- Thoracic aortic aneurysms require endovascular repair.
- Graft sizing is critical for successful thoracic endoprosthesis implantation.
Observation:
- A 40-year-old male presented with hypertensive crisis and pulmonary edema 6 months post-aortic endoprosthesis implantation.
- Imaging revealed endoprosthesis collapse and a proximal type I leak.
Findings:
- A second thoracic endoprosthesis (TAG graft) was successfully deployed within the collapsed device.
- Re-expansion of the endoprosthesis achieved symptom resolution.
Implications:
- This case highlights the potential for endoprosthesis collapse in thoracic aortic repair.
- Successful re-intervention demonstrates a viable salvage strategy for endoprosthesis failure.
- Careful graft sizing and monitoring are essential for long-term thoracic endoprosthesis outcomes.
Related Concept Videos
01:21Aneurysm II: Clinical Manifestations and Diagnostic Studies
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
01:26Aneurysm III: Interprofessional Care
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
01:22Aortic Regurgitation II: Clinical Features and Diagnostic Tests
Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
01:15Aortic Regurgitation I: Introduction
IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
01:30Aneurysm I: Introduction
An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
01:25Aortic Regurgitation III: Medical Management
Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...