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Collapse of a Stent-Graft Following Treatment of a Traumatic Thoracic Aortic Rupture

2005; SAGE Publishing; Volume: 12; Issue: 4 Linguagem: Inglês

10.1583/04-1515r.1

1545-1550

Mirza M. Idu, Jim A. Reekers, Ron Balm, Kees-Jan Ponsen, Bas A.J.M. de Mol, D.A. Legemate,

Cardiac, Anesthesia and Surgical Outcomes

To report a collapsed stent-graft used to treat a traumatic aortic rupture.A Gore TAG stent-graft was placed in a 20-year-old man with multiple injuries. Postimplantation computed tomographic angiography (CTA) demonstrated no contrast extravasation and total exclusion of the traumatic rupture. Routine CTA 3 months after implantation revealed a collapsed stent-graft located in the outer curve of the distal aortic arch. A Talent stent-graft was placed successfully within the collapsed prosthesis. Postimplantation CTA demonstrated no contrast extravasation and good apposition of the endograft to the aortic wall. At 6 months, the repair remains secure; there is no sign of graft collapse or endoleak.Collapse of stent-grafts can occur after treatment for traumatic aortic ruptures; endovascular methods can be used to restore a satisfactory luminal contour.