Related Experiment Video
Updated: Sep 18, 2025
06:26
Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
499
Dissection inside the Stent Graft after Previous Thoracic Endovascular Aortic Repair
1General Surgery, Cancer Centre, Department of Vascular Surgery, Zhejiang Provincial People's Hospital, Affiliated People's Hospital, Hangzhou Medical College, Hangzhou, Zhejiang, China.
Insights
A patient with a history of SARS-CoV-2 infection developed a stent graft complication. A secondary thoracic endovascular aortic repair (T-EVAR) successfully treated the dissection, showing good aortic remodeling at one year.
Area of Science:
- Vascular Surgery
- Interventional Cardiology
- Medical Imaging
Background:
- A 45-year-old male patient with a history of SARS-CoV-2 infection underwent thoracic endovascular aortic repair (T-EVAR) for a type B intramural hematoma.
- Post-T-EVAR complications included a neointimal tear and dissection within the Hercules stent graft.
Purpose of the Study:
- To describe the management and outcome of a patient with a stent graft complication after T-EVAR.
- To evaluate the efficacy of a secondary relining T-EVAR procedure.
Main Methods:
- Computed tomography angiography (CTA) was used for diagnosis and follow-up.
- A secondary relining T-EVAR procedure was performed using a Hercules stent graft.
- One-year follow-up included clinical assessment and control CTA.
Main Results:
- The secondary T-EVAR successfully addressed the neointimal tear and dissection.
- No complications or disease recurrence were observed at the one-year follow-up.
- Control CTA demonstrated favorable aortic remodeling.
Conclusions:
- Secondary relining T-EVAR is a viable option for managing stent graft complications.
- This approach can lead to successful disease management and positive aortic remodeling.
- Further studies are warranted to confirm long-term outcomes.
Abstract
No abstract available in PubMed .
