Key result
A patient with Marfan syndrome required reoperation due to frame fractures and degradation of graft material in a triple-branched stent graft implanted 5 years earlier.
Why the study?
Indications for triple-branch stent graft placement in total arch reconstruction for acute type A aortic dissection are limited by complications such as endoleak, stent graft migration or kinking, and spontaneous thrombosis.
Case Report (n=1)
Highlights the risk of late complications such as frame fractures or graft degradation requiring reoperation years after triple-branched stent graft implantation in patients with Marfan syndrome.
Late graft failure may require reoperation years after triple-branched stenting in Marfan syndrome; leaves open durability questions for prospective study.
Acute type A aortic dissection (ATAAD) is an aortic catastrophe with high mortality, requiring immediate surgical intervention. Recently, placement of a triple-branch stent graft has emerged as an effective technique for total arch reconstruction. Indications for this approach, however, are limited by various complications, such as endoleak, stent graft migration or kinking, and spontaneous thrombosis. Here, we report a case of Marfan syndrome in which the patient underwent a reoperation owing to frame fractures (or degradation of graft material) in a triple-branched stent graft implanted 5 years earlier.
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Song et al. (2021) conducted a case report in Marfan syndrome with prior triple-branched stent graft (n=1). Reoperation for frame fractures in a triple-branched stent graft was evaluated. A patient with Marfan syndrome required reoperation due to frame fractures and degradation of graft material in a triple-branched stent graft implanted 5 years earlier.
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