Thoracic Endovascular Aortic Repair for Ruptured Intercostal Patch Aneurysm Following Thoracoabdominal Aortic

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Soichiro Henmi1, Hidekazu Nakai1, Katsuhiro Yamanaka1

  • 1Division of Cardiovascular Surgery, Department of Surgery, Kobe University Graduate School of Medicine.

Annals of Vascular Diseases
|January 1, 2021
PubMed

Aneurysmal change of reconstructed intercostal arteries is believed to be a rare complication after thoracoabdominal aortic repair. To our knowledge, there is no guideline or randomized controlled trials regarding intercostal patch aneurysm management. Therefore, the optimal treatment is still controversial. We describe a successful case of emergent thoracic endovascular aortic repair for ruptured intercostal patch aneurysm in an 83-year-old man following thoracoabdominal aortic aneurysm repair. Our experience illustrated that gradual expansion of large blocks of aortic wall reconstruction should be closely monitored after primary thoracoabdominal aortic replacement.

Keywords:
intercostal patch aneurysmthoracic endovascular aortic repairthoracoabdominal aortic aneurysm

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