A New and Unexpected Complication after Arch Stent Grafting For Residual Dissection.

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ID: 85695
2019
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Abstract
This report describes an unreported complication after stent-grafting of the aortic arch for residual dissection following ascending aorta and aortic arch replacement for acute type A dissection. The patient developed, one year later, a pseudoaneurysm originating from the proximal suture line and therefore far from the stent-graft landing zone, that fistulized into the pulmonary artery. Possible causes are: suture damage during stent deployment or change of system forces after stent placement leading to high-tension on the suture line. Emergency surgery was performed. Aortic arch stent grafting is a new promising technique but its complications are still not completely known.
Reference Key
donofrio2019athe Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors D'Onofrio, Augusto;Cibin, Giorgia;Caraffa, Raphael;Rubino, Maurizio;Antonello, Michele;Grego, Franco;Gerosa, Gino;
Journal the annals of thoracic surgery
Year 2019
DOI
S0003-4975(19)31606-6
URL
Keywords
aortic arch stent grafting aortic dissection pseudoaneurysm

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