Type 3 endoleak following chest trauma in a patient with a...
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Cite this article as: Tomás AC, Santos ÁL, Rodrigues L, Fragata J. Type 3 endoleak following chest trauma in a patient with a hybrid replacement of the thoracic aorta. Eur J Cardiothorac Surg 2015; doi:10.1093/ejcts/ezv146. Type 3 endoleak following chest trauma in a patient with a hybrid replacement of the thoracic aorta António Cruz Tomás*, Álvaro Laranjeira Santos, Luís Rodrigues and José Fragata Serviço de Cirurgia Cardiotorácica, Hospital de Santa Marta, CHLC, Lisbon, Portugal * Corresponding author. Serviço de Cirurgia Cardiotorácica, Hospital de Santa Marta, Rua de Santa Marta 50, Lisboa 1169-1024, Portugal. Tel: +351-91-8600313; e-mail: [email protected] (A.C. Tomás). Received 19 January 2015; received in revised form 4 March 2015; accepted 16 March 2015 Keywords: Endoleak type 3 • Endovascular • Thoracic • Aorta • Frozen elephant trunk • Chest trauma A 64-year old male patient underwent a frozen elephant trunk and thoracic endovascular aortic repair (TEVAR) in 2010 for a type B aortic dissection. Thrombosis of the false lumen was documented on angio-CT. In 2014, following chest trauma, he had an enlargement in the false lumen and a type 3 endoleak (Figs. 1A–C; Video 1), treated with another TEVAR (Fig. 2A–C). Figure 1: (A–C) Angio-CT revealing the endoleak in the middle of the first thoracic endovascular aortic repair. © The Author 2015. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved. IMAGES IN CARDIO- THORACIC SURGERY European Journal of Cardio-Thoracic Surgery (2015) 1–2 IMAGES IN CARDIO-THORACIC SURGERY doi:10.1093/ejcts/ezv146 European Journal of Cardio-Thoracic Surgery Advance Access published April 17, 2015
Transcript of Type 3 endoleak following chest trauma in a patient with a...
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Cite this article as: Toms AC, Santos L, Rodrigues L, Fragata J. Type 3 endoleak following chest trauma in a patient with a hybrid replacement of the thoracicaorta. Eur J Cardiothorac Surg 2015; doi:10.1093/ejcts/ezv146.
Type 3 endoleak following chest trauma in a patient with a hybridreplacement of the thoracic aorta
Antnio Cruz Toms*, lvaro Laranjeira Santos, Lus Rodrigues and Jos Fragata
Servio de Cirurgia Cardiotorcica, Hospital de Santa Marta, CHLC, Lisbon, Portugal
* Corresponding author. Servio de Cirurgia Cardiotorcica, Hospital de Santa Marta, Rua de Santa Marta 50, Lisboa 1169-1024, Portugal. Tel: +351-91-8600313;e-mail: [email protected] (A.C. Toms).
Received 19 January 2015; received in revised form 4 March 2015; accepted 16 March 2015
Keywords: Endoleak type 3 Endovascular Thoracic Aorta Frozen elephant trunk Chest trauma
A 64-year old male patient underwent a frozen elephant trunkand thoracic endovascular aortic repair (TEVAR) in 2010 for a typeB aortic dissection. Thrombosis of the false lumen was
documented on angio-CT. In 2014, following chest trauma, he hadan enlargement in the false lumen and a type 3 endoleak (Figs.1AC; Video 1), treated with another TEVAR (Fig. 2AC).
Figure 1: (AC) Angio-CT revealing the endoleak in the middle of the first thoracic endovascular aortic repair.
The Author 2015. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.
IMAGES
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European Journal of Cardio-Thoracic Surgery (2015) 12 IMAGES IN CARDIO-THORACIC SURGERYdoi:10.1093/ejcts/ezv146
European Journal of Cardio-Thoracic Surgery Advance Access published April 17, 2015
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Figure 2: (AC) Final result after deployment of a new thoracic endovascular aortic repair in the lumen of the affected prosthesis.
Video 1: 3D Reconstruction of the angio-CT showing the type 3 endoleak andthe affected prosthesis.
A.C. Toms et al. / European Journal of Cardio-Thoracic Surgery2
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