Endovascular Repair of Postdissection Thoracoabdominal Aortic Aneurysm in Patients With Vascular Ehlers-Danlos Syndrome
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Endovascular Repair of Postdissection Thoracoabdominal Aortic Aneurysm in Patients With Vascular Ehlers-Danlos Syndrome. / Eleshra, Ahmed; Panuccio, Giuseppe; Spanos, Konstantinos; Rohlffs, Fiona; Kodolitsch, Yskert von; Detter, N Christian; Tsilimparis, Nikolaos; Kölbel, Tilo.
in: J ENDOVASC THER, Jahrgang 28, Nr. 5, 10.2021, S. 804-811.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Endovascular Repair of Postdissection Thoracoabdominal Aortic Aneurysm in Patients With Vascular Ehlers-Danlos Syndrome
AU - Eleshra, Ahmed
AU - Panuccio, Giuseppe
AU - Spanos, Konstantinos
AU - Rohlffs, Fiona
AU - Kodolitsch, Yskert von
AU - Detter, N Christian
AU - Tsilimparis, Nikolaos
AU - Kölbel, Tilo
PY - 2021/10
Y1 - 2021/10
N2 - PURPOSE: To report endovascular repair of postdissection thoracoabdominal aortic aneurysm (TAAA) in 2 patients with vascular Ehlers-Danlos syndrome (vEDS).CASE REPORTS: Case 1. A 56-year-old vEDS male patient with a 50-mm type III TAAA [history of aortic root repair, hemiarch replacement, and thoracic endovascular aortic repair (TEVAR) for acute type A aortic dissection (TAAD) 7 years ago] was treated by a 2-stage procedure; first, cervical debranching of the left subclavian artery and second TEVAR and t-branch. The postoperative course was uneventful. Follow-up computed tomography angiography (CTA) 3.5 years postoperatively demonstrated aortic remodeling with patency of targeted visceral vessels and no endoleak. Case 2. A 47-year-old vEDS male patient presented with a TAAA (diameter of 67 mm). The patient had a history of aortic valve and arch replacement with elephant trunk for acute TAAD, and consequently a TEVAR and candy-plug procedure after a ruptured false lumen (FL) aneurysm of the descending thoracic aorta. He also had a surgical repair by an aorto-bi-iliac graft. Two years later, CTA demonstrated aneurysmal FL dilatation distally to the candy-plug and he was treated with fenestrated EVAR (F-EVAR).CONCLUSION: Endovascular repair of postdissection TAAA was feasible and safe with good short-term outcome in 2 patients with vEDS.
AB - PURPOSE: To report endovascular repair of postdissection thoracoabdominal aortic aneurysm (TAAA) in 2 patients with vascular Ehlers-Danlos syndrome (vEDS).CASE REPORTS: Case 1. A 56-year-old vEDS male patient with a 50-mm type III TAAA [history of aortic root repair, hemiarch replacement, and thoracic endovascular aortic repair (TEVAR) for acute type A aortic dissection (TAAD) 7 years ago] was treated by a 2-stage procedure; first, cervical debranching of the left subclavian artery and second TEVAR and t-branch. The postoperative course was uneventful. Follow-up computed tomography angiography (CTA) 3.5 years postoperatively demonstrated aortic remodeling with patency of targeted visceral vessels and no endoleak. Case 2. A 47-year-old vEDS male patient presented with a TAAA (diameter of 67 mm). The patient had a history of aortic valve and arch replacement with elephant trunk for acute TAAD, and consequently a TEVAR and candy-plug procedure after a ruptured false lumen (FL) aneurysm of the descending thoracic aorta. He also had a surgical repair by an aorto-bi-iliac graft. Two years later, CTA demonstrated aneurysmal FL dilatation distally to the candy-plug and he was treated with fenestrated EVAR (F-EVAR).CONCLUSION: Endovascular repair of postdissection TAAA was feasible and safe with good short-term outcome in 2 patients with vEDS.
KW - Aortic Aneurysm, Thoracic/diagnostic imaging
KW - Blood Vessel Prosthesis
KW - Blood Vessel Prosthesis Implantation/adverse effects
KW - Ehlers-Danlos Syndrome/complications
KW - Endovascular Procedures/adverse effects
KW - Humans
KW - Male
KW - Middle Aged
KW - Retrospective Studies
KW - Stents
KW - Treatment Outcome
U2 - 10.1177/15266028211025038
DO - 10.1177/15266028211025038
M3 - SCORING: Journal article
C2 - 34152227
VL - 28
SP - 804
EP - 811
JO - J ENDOVASC THER
JF - J ENDOVASC THER
SN - 1526-6028
IS - 5
ER -