Emergency endovascular deployment of stent graft in the ascending aorta for contained rupture of innominate artery pseudoaneurysm in a pediatric patient

The Annals of Thoracic Surgery
Wilson Y SzetoOmaida C Velazquez

Abstract

Endovascular approaches to treat aortic diseases have become an important alternative to open surgical intervention in aortic pathologies. We report a case of an emergency placement of a stent graft in a 16-year-old boy with a contained rupture of an innominate artery pseudoaneurysm. This patient had been previously treated for a mediastinal T-cell lymphoma and underwent mediastinal chemoradiation. He developed tracheal stenosis, requiring multiple tracheal reconstructive surgical procedures, and subsequently emergency ligation of a tracheal-innominate fistula. A pseudoaneurysm of the previously ligated innominate artery developed. Despite coil embolization, it continued to enlarge, requiring emergency endovascular intervention. A pseudoaneurysm of the previously ligated innominate artery subsequently developed, and despite coil embolization, it continued to enlarge, which required emergency endovascular intervention.

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Citations

Feb 20, 2009·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·S Geiger-GritschR Felder-Puig
Jun 12, 2014·Journal of Cardiothoracic and Vascular Anesthesia·Michael FabbroJohn G Agoustides
Nov 21, 2009·Journal of Cardiothoracic and Vascular Anesthesia·Frederik H W JonkerBart E Muhs
Jul 27, 2007·Thoracic Surgery Clinics·William T BrinkmanJoseph E Bavaria
Apr 24, 2012·The Journal of Thoracic and Cardiovascular Surgery·Dawn C ScantleburyCharanjit S Rihal
Sep 15, 2014·The Journal of Thoracic and Cardiovascular Surgery·Prashanth VallabhajosyulaWilson Y Szeto
Jul 12, 2011·Vascular·Lazar DavidovicMilica Vjestica
Sep 11, 2009·Journal of Cardiac Surgery·Mariano E BrizzioMichael Kesselbrenner
Apr 14, 2016·Journal of Cardiovascular and Thoracic Research·Jalal ZamaniAbdolali Zolghadrasli

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