van Rijn Karen, Schepers Abbey, van der Meer Rutger W, van Rijswijk Carla S P, van Schaik Jan, van der Vorst Joost R
Department of Vascular Surgery, Leiden University Medical Centre, Leiden, The Netherlands.
Department of Radiology, Leiden University Medical Centre, Leiden, The Netherlands.
J Vasc Surg Cases Innov Tech. 2023 Aug 15;9(4):101297. doi: 10.1016/j.jvscit.2023.101297. eCollection 2023 Dec.
A 27-year-old man underwent thoracic endovascular aortic repair for blunt thoracic aortic injury. Fourteen months later, he presented with intermittent paraplegia, congestive heart failure, and a decline of kidney function as a result of high-grade aortic stenosis caused by in-stent thrombosis. He had a concurrent infection with coronavirus disease 2019. The patient was successfully treated using axillofemoral bypass, followed by stent relining 2 weeks later. The possible risk factors and the optimal therapeutic approach for in-stent thrombosis remain unknown, because only a limited number of cases describing this rare complication have been reported.
一名27岁男性因钝性胸主动脉损伤接受了胸主动脉腔内修复术。14个月后，他因支架内血栓形成导致的重度主动脉狭窄，出现间歇性截瘫、充血性心力衰竭和肾功能下降。他同时感染了2019冠状病毒病。该患者通过腋股旁路手术成功治疗，两周后进行了支架重置。由于仅报道了少数描述这种罕见并发症的病例，支架内血栓形成的可能危险因素和最佳治疗方法仍然未知。
