Case-report: endovascular treatment of aortic pseudo-aneurysm caused by Fishbone

Journal of Cardiothoracic Surgery

Mingjun Lu¹  Xuesong Liu¹  Wei Wang¹ 

[1] Department of Cardiology, the First Affiliated Hospital of Guangzhou Medical University, No.151 Yanjiang West Road, Guangzhou 510120, China

关键词: Stent grafts;    Interventional therapy;    Aortic pseudo-aneurysm;   

Others  :  1224601
DOI  :  10.1186/s13019-015-0304-z

 received in 2014-12-21, accepted in 2015-06-29,  发布年份 2015

【 摘 要 】

Aortic pseudo-aneurysm (APA) is a rare disease in clinic. Because of its relative rarity, we are far from making any conclusion regarding the natural history and appropriate therapeutic strategy for this condition. This study is to investigate the treatment effect of interventional therapy in aortic pseudo-aneurysm. A woman of 68 years old diagnosed with APA caused by fishbone was treated with stent grafts. After treatment, the therapeutic effect was assessed by measuring the size of trauma. The patient recovered well after stent grafts treatment, as her trauma was minimal. However, some complications of intravascular interventional treatment were observed. Compared with conventional surgery, interventional therapy of intravascular stent grafts has its merits. Therefore, this strategy was worthy to apply in the treatment of aortic pseudo-aneurysm.

【 授权许可】

   
2015 Wang et al.

【 图 表 】

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【 参考文献 】

• [1]Doss M, Wood JP, Balzer J, Martens S, Deschka H, Moritz A. Emergency endovascular interventions for acute thoracic aortic rupture: four year follow-up. J Thorac Cardiovasc Surg. 2005; 129:645e651.
• [2]Atik FA, Navia JL, Svensson LG, Vega PR, Feng J, Brizzio ME et al.. Surgical treatment of pseudoaneurysm of the thoracic aorta. J Thorac Cardiovasc Surg. 2006; 132:379-385.
• [3]Mazzaccaro D, Malacrida G, Occhiuto MT, Stegher S, Tealdi DG, Nano G. Endovascular treatment of iatrogenic axillary artery pseudoaneurysm under echographic control: a case report. J Cardiothorac Surg. 2011; 6:78-80. BioMed Central Full Text
• [4]Carter Y, Meissner M, Bulger E, Demirer S, Brundage S, Jurkovich G et al.. Anatomical considerations in the surgical nagement of blunt thoracic aortic injury. J Vasc Surg. 2001; 34:628-33.
• [5]Tochii M, Takagi Y, Hoshino R, Kaneko K, Ishida M, Higuchi Y et al.. Pseudoaneurysm of ascending aorta 16 years after coronary artery bypass grafting. Ann Thorac Cardiovasc Surg. 2011; 17:323-5.
• [6]Bos WT, Verhoeven EL, Zeebregts CJ, Tielliu IF, Prins TR, Oranen BI et al.. Emergency endovascular stent grafting for thoracic aortic pathology. Vascular. 2007; 15:12-7.
• [7]Vaughan-Huxley E, Hamady MS, Metcalfe MJ, Adams B, Kashef E, Cheshire NJ et al.. Endovascular repair of an acute, mycotic, ascending aortic pseudoaneurysm. Eur J Vasc Endovasc Surg. 2011; 41:488-91.
• [8]Heye S, Daenens K, Maleux G, Nevelsteen A et al.. Stent-graft repair of a mycotic ascending aortic pseudoaneurysm. J Vasc Interv Radiol. 2006; 17:1821e5.
• [9]Görge G, Kunz T, Kirstein M. A prospective study on ultrasound-guided compression therapy or thrombin injection for treatment of iatrogenic false aneurysms in patients receiving full-dose anti-platelet therapy. Z Kardiol. 2003; 92:564-70.
• [10]Ye XD, Yuan Z, Li HM, Xiao XS. Pseudoaneurysm of aortic arch caused by penetration of fish bone. Eur J Cardiothorac Surg. 2008; 34:1250.
• [11]Tien YC, Chen YC, Liao CY, Chang CC. Thoracic aorta pseudoaneurysm with hemopericardium: unusual presentation of warfarin overdose. J Occup Med Toxicol. 2011; 6:12. BioMed Central Full Text
• [12]Amabile P, Collart F, Gariboldi V, Rollet G, Bartoli JM, Piquet P. Surgical versus endovascular treatment of traumatic thoracic aortic rupture. J Vasc Surg. 2004; 40:873-9.
• [13]Attar S, Cardarelli MG, Downing SW, Rodriguez A, Wallace DC, West RS et al.. Traumatic aortic rupture: recent outcome with regard to neurologic deficit. Ann Thorac Surg. 1999; 67:959-64.
• [14]Kumar RM, Reddy SS, Sharma R, Mahajan R, Talwar KK. Endovascular repair of a traumatic axillary artery pseudoaneurysm. Cardiovasc Intervent Radiol. 2009; 32:598-600.
• [15]Parodi JC, Palmaz JC, Barone HD. Transfemoral intraluminal graft implantation for abdominal aortic aneurysms. Ann Vasc Surg. 1991; 5:491-9.
• [16]Dake MD, Kato N, Mitchell RS, Semba CP, Razavi MK, Shimono T et al.. Endovascular stent-graft placement for the treatment of acute aortic dissection. N Engl J Med. 1999; 340:1546-52.
• [17]Thalhammer C, Kirchherr AS, Uhlich F, Waigand J, Gross CM. Postcatheterization pseudoaneurysms and arteriovenous fistulas: repair with percutaneous implantation of endovascular stent grafts. Radiology. 2000; 214:127-31.