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Non-Anastomotic Rupture of a Woven Dacron Graft in the Descending Thoracic Aorta Treated with Endovascular Stent Grafting

  • Lee, Youngok (Department of Thoracic and Cardiovascular Surgery, Kyungpook National University School of Medicine) ;
  • Kim, Gun-Jik (Department of Thoracic and Cardiovascular Surgery, Kyungpook National University School of Medicine) ;
  • Kim, Young Eun (Department of Thoracic and Cardiovascular Surgery, Kyungpook National University School of Medicine) ;
  • Hong, Seong Wook (Department of Anesthesiology and Pain Medicine, Kyungpook National University School of Medicine) ;
  • Lee, Jong Tae (Department of Thoracic and Cardiovascular Surgery, Kyungpook National University School of Medicine)
  • Received : 2016.06.24
  • Accepted : 2016.08.12
  • Published : 2016.12.05

Abstract

The intrinsic structural failure of a Dacron graft resulting from the loss of structural integrity of the graft fabric can cause late graft complications. Late non-anastomotic rupture has traditionally been treated surgically via open thoracotomy. We report a case of the successful use of thoracic endovascular repair to treat a Dacron graft rupture in the descending aorta. The rupture occurred 20 years after the graft had been placed. Two stent grafts were placed at the proximal portion of the surgical graft, covering almost its entire length.

Keywords

References

  1. Kawata M, Morota T, Takamoto S, Kubota H, Kitahori K. Non-anastomotic rupture in the guideline of a Dacron thoracic aortic graft. J Vasc Surg 2005;42:573. https://doi.org/10.1016/j.jvs.2004.05.025
  2. Shingu Y, Aoki H, Ebuoka N, Eya K, Takigami K, Oba J. Late rupture of knitted Dacron graft. Ann Thorac Cardiovasc Surg 2005;11:343-5.
  3. Okabe T, Ishikawa S, Otaki A, Takahashi T, Koyano T, Morishita Y. A case of late non-anastomotic rupture of a Dacron prosthesis. Jpn J Vasc Surg 1998;7:759-63.
  4. Fattori R, Tsai TT, Myrmel T, et al. Complicated acute type B dissection: is surgery still the best option?: a report from the International Registry of Acute Aortic Dissection. JACC Cardiovasc Interv 2008;1:395-402. https://doi.org/10.1016/j.jcin.2008.04.009
  5. Di Bartolomeo R, Berretta P, Petridis FD, et al. Reoperative surgery on the thoracic aorta. J Thorac Cardiovasc Surg 2013;145(3 Suppl):S78-84. https://doi.org/10.1016/j.jtcvs.2012.11.055

Cited by

  1. Late Non-Anastomotic Rupture of a Bifurcated Dacron Aortic Graft Treated Using a Gore Excluder Limb Endoprosthesis vol.35, pp.4, 2019, https://doi.org/10.5758/vsi.2019.35.4.241