Share This Article:

Repeated Surgery for Recurrent Pseudoaneurysms after Thoracoabdominal Aortic Replacement

Abstract Full-Text HTML XML Download Download as PDF (Size:2839KB) PP. 77-80
DOI: 10.4236/wjcs.2013.32013    3,017 Downloads   4,220 Views  

ABSTRACT

Aneurysm or pseudoaneurysm formation in the aortic patch containing the intercostal or visceral arteries is an unusual late complication after thoracoabdominal aortic surgery. We report the case of a 58-year-old woman who had previously undergone thoracoabdominal aortic replacement (Crawford extent II) for dissecting aneurysm. About 12 months after the operation repeated pseudoaneurysmal degenerations occurred at the intercostal or visceral artery reattachment site. They were repaired with open surgery or endovascular stent-graft. The patient recovered without major complications, and computed tomographic scans showed no recurrence of aneurysm or pseudoaneurysm at the sites of repair 1 year after the procedure.


Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

K. Suzuki, N. Ishigami, S. Akuzawa, A. Bashar, M. Shirakawa, T. Igarashi and H. Mitsuoka, "Repeated Surgery for Recurrent Pseudoaneurysms after Thoracoabdominal Aortic Replacement," World Journal of Cardiovascular Surgery, Vol. 3 No. 2, 2013, pp. 77-80. doi: 10.4236/wjcs.2013.32013.

References

[1] T. P. Carrel and C. Signer, “Separate Revascularization of the Visceral Arteries in Thoracoabdominal Aneurysm Repair,” The Annals of Thoracic Surgery, Vol. 68, No. 2, 1999, pp. 573-575. doi:10.1016/S0003-4975(99)00574-3
[2] A. Dardik, B. A. Perler, G. S. Roseborough and G. S. Williams, “Aneurysmal Expansion of the Visceral Patch after Thoracoabdominal Aortic Replacement: An Argument for Limiting Patch Size?” Journal of Vascular Surgery, Vol. 34, No. 3, 2001, pp. 405-410. doi:10.1067/mva.2001.117149
[3] K. Suzuki, T. Kazui, T. Ohno, K. Sugiki, H. Doi and Y. Ohkawa, “Re-Reconstruction of Visceral Arteries with Thoracoabdominal Aortic Replacement Using a Branched Graft,” Japanese Journal of Thoracic and Cardiovascular Surgery, Vol. 53, No. 4, 2005, pp. 217-219. doi:10.1007/s11748-005-0110-y
[4] Y. Tshomba, L. Bertoglio, E. M. Marone, G. Melissano and R. Chiesa, “Visceral Aortic Patch Aneurysm after Thoracoabdominal Aortic Repair: Conventional vs Hybrid Treatment,” Journal of Vascular Surgery, Vol. 48, No. 5, 2008, pp. 1083-1091. doi:10.1016/j.jvs.2008.05.079
[5] A. M. Bakken, C. D. Protack, D. L. Waldman and M. G. Davies, “Hybrid Debranching-Endovascular Repair of Visceral Patch Aneurysm after Thoracoabdominal Aneurysm Repair,” Vascular and Endovascular Surgery, Vol. 41, No. 3, 2007, pp. 249-253. doi:10.1177/1538574407301432
[6] D. J. Adam, M. Berce, D. E. Hartley, D. A. Robinson and J. L. Anderson, “Repair of Recurrent Visceral Aortic Patch Aneurysm after Thoracoabdominal Aortic Aneurysm Repair with a Branched Endovascular Stent Graft,” Journal of Vascular Surgery, Vol. 45, No. 1, 2007, pp. 183-185. doi:10.1016/j.jvs.2006.08.023
[7] L. M. Reilly and T. A. Chuter, “Endovascular Repair of Thocacoabdominal Aneurysms: Design Options, Device Construct, Patient Selection and Complications,” Journal of Vascular Surgery, Vol. 50, 2009, pp. 447-460.
[8] J. Jim, L. A. Sanchez and B. G. Rubin, “Use of a Surgeon-Modified Branched Thoracic Endograft to Preserve an Aortorenal Bypass during Treatment of an Intercostal Patch Aneurysm,” Journal of Vascular Surgery, Vol. 52, No. 3, 2010, pp. 730-733. doi:10.1016/j.jvs.2010.03.062
[9] S. Schwill, S. A. LeMaire, S. Y. Green, F. G. Bakaeen and J. S. Coselli, “Endovascular Repair of Thoracic Aortic Pseudoaneurysms and Patch Aneurysms,” Journal of Vascular Surgery, Vol. 52, No. 4, 2010, pp. 1034-1037. doi:10.1016/j.jvs.2010.04.078
[10] H. J. Safi, C. C. Miller III, T. T. T. Huynh, A. L. Estrera, E. E. Porat, A. N. Winnerkvist, et al., “Distal Aortic Perfusion and Cerebrospinal Fluid Drainage for Thoracoabdominal and Descending Thoracic Aortic Repair,” Annals of Surgery, Vol. 238, No. 3, 2003, pp. 372-381.
[11] N. T. Kouchoukos, B. B. Daily and C. K. Rokkas, “Hypothermic Bypass and Circulatory Arrest for Operations on the Descending Thoracic and Thoracoabdominal Aorta,” The Annals of Thoracic Surgery, Vol. 60, No. 1, 1995, pp. 67-77.
[12] K. Suzuki, T. Kazui, H. Terada, K. Umemura, Y. Ikeda, A. H. Bashar, et al., “Experimental Study on the Protective Effects of Edaravone against Ischemic Spinal Cord Injury,” The Journal of Thoracic and Cardiovascular Surgery, Vol. 130, No. 6, 2005, pp. 1586-1592. doi:10.1016/j.jtcvs.2005.08.049
[13] A. Kulik, B. T. Allen and N. T. Kouchoukos, “Incidence and Management of Intercostal Patch Aneurysms after Repair of Thoracoabdominal Aortic Aneurysms,” The Journal of Thoracic and Cardiovascular Surgery, Vol. 138, No. 2, 2009, pp. 352-358. doi:10.1016/j.jtcvs.2009.01.005
[14] R. R. Dias, J. S. Coselli, N. A. Stolf, A. R. Dias, C. Mady and S. A. Oliveira, “Aneurysmal Dilation of the Reimplant Segment of the Visceral Vessels after Thoracoabdominal Aneurysm Correction,” Arquivos Brasileiros de Cardiologia, Vol. 81, No. 3, 2003, pp. 273-278. doi:10.1590/S0066-782X2003001100007
[15] J. Kokotsakis, G. Lazopoulos, H. Ashrafian, P. Misthos, T. Athanasiou and A. Lioulias, “Thoracoabdominal Aneurysm Repair Using a Four-Branched Thoracoabdominal Graft: A Case Series,” Cases Journal, Vol. 2, No. 1, 2009, p. 7144. doi:10.4076/1757-1626-2-7144

  
comments powered by Disqus

Copyright © 2019 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.