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Endovascular Stent-Graft Repair as a Late Secondary Procedure After Previous Aortic Grafts |
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| Authors: | Miltiadis I. Matsagas Constantine E. Anagnostopoulos John C. Papakostas Joseph J. DeRose Stavros Siminelakis Christos S. Katsouras Ioannis K. Toumpoulis George E. Drossos Lampros K. Michalis |
| Affiliation: | (1) Department of Cardiothoracic Surgery, School of Medicine, University of Ioannina, University Avenue, 45500, Ioannina, Greece;(2) Department of Surgery — Vascular Surgery Unit, School of Medicine, University of Ioannina, University Avenue, 45500, Ioannina, Greece;(3) Department of Cardiology, School of Medicine, University of Ioannina, University Avenue, 45500, Ioannina, Greece;(4) Department of Cardiothoracic Surgery, St. Luke’s-Roosevelt Hospital, Columbia University, New York, New York, USA |
| Abstract: | Thoracic and abdominal aortic endovascular procedures as alternatives to aortic reoperations were studied in three different cases. An anastomotic aneurysm after previous thoracic aortic graft for coarctation, a second-stage elephant trunk repair (descending thoracic aortic aneurysm), and a secondary aneurysm proximal to a previous abdominal aortic graft were successfully treated with endovascular stent-grafts. During the follow-up period no lethal events or major aortic or graft-related complications were observed, except a type II endoleak in the anastomotic aortic aneurysm case. An endovascular stent-graft can be safely deployed into a previously implanted vascular graft, avoiding repeat surgery. |
| Keywords: | Aneurysm Complications of surgery Endovascular stent Reoperation |
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