Matsagas Miltiadis I, Papakostas John C, Arnaoutoglou Helen M, Michalis Lampros K
Department of Surgery-Vascular Surgery Unit, Medical School, University of Ioannina, Ioannina, Greece.
J Vasc Surg. 2009 May;49(5):1316-8. doi: 10.1016/j.jvs.2008.11.067. Epub 2009 Apr 1.
Infolding of an aortic endograft, usually characterized as endograft collapse, is a quite rare complication reported to occur mainly in thoracic aortic grafts. This report presents a case of an early proximal collapse of an endoprosthesis in an abdominal aortic aneurysm. The complication was diagnosed during the first month of follow-up and was not associated with any endoleak. It was treated with the deployment of a proximal endograft cuff with suprarenal fixation. Endograft collapse may complicate endovascular repair of the abdominal aorta in rare situations. Upon diagnosis of the problem, endovascular repair of graft collapse seems to be feasible.
主动脉内移植物的折叠，通常表现为移植物塌陷，是一种相当罕见的并发症，主要报道发生于胸主动脉移植物。本报告介绍了一例腹主动脉瘤内假体早期近端塌陷的病例。该并发症在随访的第一个月被诊断出来，且与任何内漏无关。通过植入带肾上腺固定的近端内移植物袖套进行治疗。在罕见情况下，移植物塌陷可能使腹主动脉的血管内修复复杂化。一旦诊断出该问题，移植物塌陷的血管内修复似乎是可行的。
