Published in:
01-06-2013 | Case Report
Late Pseudocoarctation Syndrome After Stent-Graft Implantation For Traumatic Aortic Rupture
Authors:
Vincent Letocart, Georges Fau, Ashok Tirouvanziam, Claire Toquet, Oussama Al Habash, Patrice Guerin, Hervé Rousseau, Dominique Crochet
Published in:
CardioVascular and Interventional Radiology
|
Issue 3/2013
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Abstract
The present observation illustrates an unusual complication occurring after stent-grafting (S-graft) for aortic isthmus rupture. A 22-year-old patient, treated by S-graft in the emergency department for traumatic aortic rupture, was readmitted 10 months later with pseudocoarctation syndrome. A membrane was found inside the stent-graft that had induced a pseudo-dissection, which caused the pseudocoarctation syndrome. Surgical treatment consisted of removing the stent-graft and membrane and replacing it with a vascular implant. The patient’s clinical course was fair. The suggested mechanism was circumferential neoendothelialization of the stent-graft. Dehiscence caused the superior part of the membrane to drop into the lumen of the stent-graft creating a “false channel” that compressed the “true lumen” and induced “pseudocoarctation” syndrome. The cause of the extensive neointimalization remains unexplained. Thoracic aortic stent-grafts require regular follow-up monitoring by angioscan or angio-magnetic resonance imaging.