Idu Mirza M, Reekers Jim A, Balm Ron, Ponsen Kees-Jan, de Mol Bas A J M, Legemate Dink A
Department of Vascular Surgery, Academic Medical Center, Amsterdam, The Netherlands.
J Endovasc Ther. 2005 Aug;12(4):503-7. doi: 10.1583/04-1515R.1.
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.
