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Updated: Mar 5, 2026
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An Experimental Paradigm for the Prediction of Post-Operative Pain PPOP
Published on: January 27, 2010
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Protracted refractory pain post-TEVAR: post-implantation syndrome?
Peter Waweru1, Hardeep Gill2, Chris Abeid3
1Department of Surgery , MP Shah Hospital , Nairobi, Nairobi-Kenya.
Journal of Surgical Case Reports
|March 28, 2017
Summary
Thoracic endovascular aortic repair (TEVAR) for acute aortic Type B dissections may cause post-implantation syndrome. This case highlights the potential role of local inflammation in atypical PIS presentation.
Area of Science:
- Cardiovascular Surgery
- Vascular Medicine
- Inflammatory Response Syndromes
Background:
- Aortic dissection is a critical cardiovascular condition with high mortality.
- Thoracic endovascular aortic repair (TEVAR) is debated for uncomplicated acute aortic Type B dissections (AAD-B).
- Post-implantation syndrome (PIS) affects up to 60% of patients after TEVAR, with unclear mechanisms.
Observation:
- A 57-year-old male with uncomplicated AAD-B underwent TEVAR.
- The patient developed an atypical PIS characterized by severe abdominal pain, leukocytosis, and elevated C-reactive protein.
- This presentation deviated from typical PIS descriptions.
Findings:
- The case suggests local inflammation may play a significant role in the development of PIS.
- Inflammatory markers were elevated, indicating a systemic response potentially triggered locally.
- The patient's symptoms underscore the complexity of PIS following TEVAR.
Implications:
- Further research into the role of local inflammation in PIS is warranted.
- Understanding PIS mechanisms could lead to improved patient management after TEVAR.
- This case may refine diagnostic criteria and treatment strategies for PIS.
