Endovascular Stent Graft Infection due to Esophageal Perforation after Surgical Treatment for Type II Endoleak
-
- Motoharu Yosuke
- Cardiovascular Surgery, Sakakibara Heart Institute Cardiovascular Surgery, Fukuoka Wajiro Hospital
-
- Aramoto Haruo
- Cardiovascular Surgery, Sakakibara Heart Institute
-
- Norimatsu Togo
- Cardiovascular Surgery, Sakakibara Heart Institute
-
- Tabata Minoru
- Cardiovascular Surgery, Sakakibara Heart Institute
-
- Fukui Toshihiro
- Cardiovascular Surgery, Sakakibara Heart Institute
-
- Takanashi Shuichiro
- Cardiovascular Surgery, Sakakibara Heart Institute
Bibliographic Information
- Other Title
-
- 胸部ステントグラフト内挿術後の type II endoleak に対する修復術後に食道穿孔によりグラフト感染症を発症した1例
Search this article
Abstract
An 80-year-old man was admitted to our hospital with a diagnosis of distal aortic arch aneurysm. A preoperative chest CT demonstrated a 54 mm in diameter distal aortic arch and coronary angiography revealed stenosis of LAD and the diagonal branch. We planned a thoracic endovascular repair after total arch replacement with a coronary artery bypass graft. A ZTEG-2P-30-200-JP was deployed at the proximal side of the elephant trunk, and a ZTEG-2P-34-152-JP was deployed. About 10 months later, a chest CT demonstrated a 90 mm in diameter distal native aortic arch, and anemia had increased to Hb 7.7 g/dl. A CT and angiography revealed a type II endoleak and so we tried to close the endoleak through a left thoracotomy approach. Twenty-eight months after the TEVAR, the patient had esophageal perforation and stent graft infection. At first, we resected the esophagus and reconstructed it with a gastric tube. Secondly, a descending thoracic aorta replacement was performed. The patient suffered from a cerebral infarction. However, infection was controlled successfully and he was transferred to another hospital for rehabilitation 69 days after the descending aorta replacement.
Journal
-
- Japanese Journal of Cardiovascular Surgery
-
Japanese Journal of Cardiovascular Surgery 45 (2), 94-99, 2016
The Japanese Society for Cardiovascular Surgery
- Tweet
Keywords
Details 詳細情報について
-
- CRID
- 1390282679683400192
-
- NII Article ID
- 130005144037
-
- ISSN
- 18834108
- 02851474
-
- Text Lang
- ja
-
- Data Source
-
- JaLC
- Crossref
- CiNii Articles
-
- Abstract License Flag
- Disallowed