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Descending thoracic aortic dissection after covered stent for adult aortic coarctation: Technical or

Caiyun Liu1, Xuening Dai1, Guangqi Zhou2

  • 1Clinical Medical College of Jining Medical University, Jining, China.

Heliyon
|April 24, 2023
PubMed

Insights

Early descending thoracic aortic dissection is a rare but serious complication following covered stent graft implantation for adult aortic coarctation. Prompt thoracic endovascular aortic reconstruction can lead to successful outcomes.

Area of Science:

  • Cardiology
  • Vascular Surgery
  • Medical Imaging

Background:

  • Covered stent graft implantation is the primary treatment for adult aortic coarctation.
  • Descending thoracic aortic dissection is a potential, albeit infrequent, complication.
  • This complication can lead to severe outcomes, including mortality.

Purpose of the Study:

  • To report a case of early postoperative descending thoracic aortic dissection after covered stent graft implantation in an adult aortic coarctation patient.
  • To discuss the diagnosis and management of this complication.
  • To provide a reference for clinicians managing similar cases.

Main Methods:

  • Case report of an adult patient with aortic coarctation.
  • Management involved initial covered stent graft implantation.
  • Second operation: thoracic endovascular aortic reconstruction.

Main Results:

  • The patient experienced early postoperative descending thoracic aortic dissection.
  • Successful treatment with thoracic endovascular aortic reconstruction was achieved.
  • The patient was discharged 6 days after the second operation.

Conclusions:

  • Descending thoracic aortic dissection is a recognized complication of covered stent graft repair for aortic coarctation.
  • Early diagnosis and prompt reintervention, such as thoracic endovascular aortic reconstruction, are crucial for favorable outcomes.
  • This case highlights the importance of vigilance and preparedness for managing such complications in vascular surgery.

Keywords:
Aortic coarctationAortic dissectionComplicationCovered stentInterventional treatment

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