Complex Regional Pain Syndrome with Aortic Distress after Thoracic Endovascular Aortic Repair and False Lumen Exclusion with “Candy Plug” Technique

AORTA

article

Renato Casana¹  Roberto Chiesa³  Valerio S. Tolva⁴  Andrea Kahlberg³  Luca Bertoglio³  Santi Trimarchi⁵  Riccardo Miloro⁴ 

[1] Laboratory of Vascular Research, Istituto Auxologico Italiano;Department of Surgery, Istituto Auxologico Italiano;Department of Vascular Surgery, Vita-Salute San Raffaele University;Department of Vascular Surgery, Grande Ospedale Metropolitano Niguarda;Department of Vascular Surgery, Fondazione Ca' Granda Ospedale Maggiore Policlinico;Department of Clinical and Community Sciences, University of Milan

关键词: aortic dissection;    TEVAR;    aortic pain;    acute aortic syndrome;    candy plug;    spinal cord protection;    visceral perfusion;   

DOI  :  10.1055/s-0041-1730007

来源: Thieme

【 摘 要 】

A 41-year-old male presented for pain treated with oxycodone. A zone-2 thoracic endovascular aortic repair with distal PETTICOAT (provisional extension to induce complete attachment) for complicated Type-IIIB aortic dissection was performed 18 months before. Repeated hospitalizations did not show any issues to justify the recurrent pain. The aortic nature of the pain was suspected considering the plug as a pain trigger. Through a left thoracoabdominal incision in the eighth intercostal space, the candy plug was removed. Pain diminished after thoracoabdominal surgery steadily.

【 授权许可】

Unknown