Chen Fang Hong, Shim Won Heum, Chang Byung Chul, Park Sang Joon, Won Jong Yun, Lee Do Yun
Department of Radiology, Zhejiang Provincial People's Hospital, Hang Zhou, China.
J Endovasc Ther. 2003 Apr;10(2):249-53. doi: 10.1177/152660280301000214.
To report the formation of false aneurysms at both ends of a stent-graft implanted in the descending thoracic aorta to repair a penetrating atherosclerotic ulcer.
A 66-year-old woman with a penetrating atherosclerotic ulcer was treated with a 34 x 70-mm homemade Gianturco-type stent covered with polytetrafluoroethylene graft. Four months later, she developed false aneurysms at both ends of the stent-graft. The patient refused further endovascular repairs, so the stent-graft was surgically removed and the aorta repaired.
This case demonstrates an unusual complication that should be anticipated when a stent-graft is deployed in the acute phase of thoracic aortic ulcer or its variants.
