Key result
Thoracic aortic endoprosthesis successfully treats distal anastomotic aneurysm with no endoleaks at three months.
Why the study?
The effectiveness and safety of thoracic aortic endoprosthesis from a vascular prosthesis to native aorta for anastomosis aneurysms after extraanatomic bypass surgery were not well established.
Case Report (n=1)
Endovascular stent grafting can successfully treat distal anastomosis aneurysms following extraanatomic bypass for aortic coarctation, avoiding complex repeat open surgery.
Answers are grounded in this paper and cite their sources.
May spare reoperation in rare post-coarctation anastomosis aneurysms; hypothesis-generating pending larger series.
A clinical observation of successful prosthetics of an aneurysm of distal anastomosis of a vascular prosthesis of the thoracic aorta with a stent graft in a patient 24 years after extraanatomic bypass surgery with an end-to-side anastomosis for aortic coarctation is presented. During a routine examination, an aneurysm of the distal anastomosis of the vascular prosthesis was revealed in the patient. After further examination, thoracic aorta endoprosthesis was performed from vascular prosthesis to native aorta with Ankura 2020B120 stent graft (Lifetech Scientific Co., LTD. Shenzhen, China). Intraoperative results of endoprosthetics were assessed as good. The aneurysm of the distal anastomosis was not contrasted, the patency of the vessels of the aortic arch was preserved. According to the control computed tomography study performed 3 months after the operation, the aneurysm of the distal anastomosis is not contrasted, there is no dislocation of the prosthesis, there are no endolics. The above clinical observation demonstrates the effectiveness and safety of thoracic aortic endoprosthesis from a vascular prosthesis to a native aorta with anastomosis aneurysms of a vascular prosthesis, which allows avoiding complex and traumatic repeated open surgical intervention on the aorta and achieving good immediate and long-term treatment results. Received 25 November 2021. Revised 29 December 2021. Accepted 31 January 2022. Informed consent: The patient’s informed consent to use the records for medical purposes is obtained. Funding: The study did not have sponsorship. Conflict of interest: Authors declare no conflict of interest. Contribution of the authors Literature review: N.S. GorshkovDrafting the article: N.S. Gorshkov, N.R. ChernayaCritical revision of the article: R.Sh. Muslimov, L.S. KokovSurgical treatment: N.S. Gorshkov, N.R. Chernaya, M.V. Parhomenko, V.S. SelyaevFinal approval of the version to be published: N.S. Gorshkov, N.R. Chernaya, M.V. Parhomenko, V.S. Selyaev, L.S. Kokov
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Gorshkov et al. (2022) conducted a case report in Aneurysm of distal anastomosis of a vascular prosthesis of the thoracic aorta (n=1). Thoracic aorta endoprosthesis with Ankura 2020B120 stent graft was evaluated on Aneurysm exclusion and prosthesis patency. Thoracic aortic endoprosthesis with a stent graft successfully treated an aneurysm of the distal anastomosis of a vascular prosthesis, with no endoleaks or prosthesis dislocation at 3 months.
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