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, Vol. 28, No. 5, 10.2021, p. 804-811.

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@article{7028e3df09144cbdb85f4b8a13cd9890,
title = "Endovascular Repair of Postdissection Thoracoabdominal Aortic Aneurysm in Patients With Vascular Ehlers-Danlos Syndrome",
abstract = "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.",
keywords = "Aortic Aneurysm, Thoracic/diagnostic imaging, Blood Vessel Prosthesis, Blood Vessel Prosthesis Implantation/adverse effects, Ehlers-Danlos Syndrome/complications, Endovascular Procedures/adverse effects, Humans, Male, Middle Aged, Retrospective Studies, Stents, Treatment Outcome",
author = "Ahmed Eleshra and Giuseppe Panuccio and Konstantinos Spanos and Fiona Rohlffs and Kodolitsch, {Yskert von} and Detter, {N Christian} and Nikolaos Tsilimparis and Tilo K{\"o}lbel",
year = "2021",
month = oct,
doi = "10.1177/15266028211025038",
language = "English",
volume = "28",
pages = "804--811",
journal = "J ENDOVASC THER",
issn = "1526-6028",
publisher = "International Society of Endovascular Specialists",
number = "5",

}

RIS

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 -