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Int J Angiol 2013; 22(02): 131-134
DOI: 10.1055/s-0033-1336607
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Endovascular Repair of a Traumatic Thoracic Aortic Injury Resulting in Late Aortic Dilatation

Kumi Ozaki
1   Department of Radiology, Kanazawa University Graduate School of Medical Science, Kanazawa, Japan
,
Osamu Matsui
1   Department of Radiology, Kanazawa University Graduate School of Medical Science, Kanazawa, Japan
,
Hiroshi Ohtake
2   Department of General and Cardiothoracic Surgery, Kanazawa University Graduate School of Medical Science, Kanazawa, Japan
,
Go Watanabe
2   Department of General and Cardiothoracic Surgery, Kanazawa University Graduate School of Medical Science, Kanazawa, Japan
,
Junichiro anada
1   Department of Radiology, Kanazawa University Graduate School of Medical Science, Kanazawa, Japan
› Author Affiliations
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Publication History

Publication Date:
18 April 2013 (online)

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Abstract

We present an unusual complication following endovascular repair of traumatic thoracic aortic injury using a homemade stent-graft. Although an initial technical success was apparently obtained, the aorta showed remarkable dilatation without shortening or migration of the stent skeleton in late follow-up period. The possible cause of the dilatation was considered to be the expansion and gathering of the crimped, loosely attached, graft fabric in addition to the incomplete exclusion due to the insufficient landing zone and the limited radial force. Thus, the specific feature of stent-graft, considered to provide an advantage to treatment, has adversely affected the native aorta.

Keywords

traumatic thoracic aortic injury - curved nitinol stent-graft - homemade stent-graft - complication
 

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