Surgical Science

Volume 10, Issue 9 (September 2019)

ISSN Print: 2157-9407   ISSN Online: 2157-9415

Google-based Impact Factor: 0.10  Citations  h5-index & Ranking

Total Thrombosis of Bifurcated Endoprosthesis: A Rare Complication of Endovascular Treatment of Abdominal Aortic Aneurysm

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DOI: 10.4236/ss.2019.109037    821 Downloads   2,237 Views  

ABSTRACT

Background: Aortic stents are a therapeutic alternative to open surgery of abdominal aortic aneurysms. We report a case of treatment of an abdominal aortic aneurysm with a bifurcated stent, complicated by total thrombosis. Aim: The purpose of this presentation was to understand the causes, mechanisms, incidents and accidents that contributed to this complication. Case Presentation: A 48-year-old man patient with a history of high blood pressure, ischemic heart disease, chronic obstructive pulmonary disease, who was found during a surveillance check-up, an infra-renal abdominal aorta aneurysm measured at 56 mm in diameter, asymptomatic but progressive. The indication of an endovascular treatment by the placement of a bifurcated prosthesis was posed and accepted. Thrombosis of the two limbs was intra-operative, upper-end migration without endoleak at 4 months postoperative, total thrombosis of the stent at 13 months postoperatively. Explantation of the stent followed by aortobi-iliac bypass was finally performed in the 15th month. Conclusion: The cardiopulmonary antecedents, the anatomical and evolutionary characteristics of the aneurysm could have played a role in the occurrence of the complications observed in this patient.

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Togola, B. , Bengaly, B. , Konaté, M. , Muller, L. , Szymoniak, O. , Coulibaly, M. , Traoré, D. , Coulibaly, B. , Vaitkevicienne, S. , Peret, M. , Ongoiba, N. and Debrux, J. (2019) Total Thrombosis of Bifurcated Endoprosthesis: A Rare Complication of Endovascular Treatment of Abdominal Aortic Aneurysm. Surgical Science, 10, 338-345. doi: 10.4236/ss.2019.109037.

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