Aortic Dissection Occurring 18 Months after Successful Endovascular Repair in an Anatomically Difficult Case of Abdominal Aortic Aneurysm
Joint Authors
Yamamoto, Satoshi
Okamoto, Hiroyuki
Hoshina, Katsuyuki
Takazawa, Yutaka
Watanabe, Toshiaki
Shigematsu, Kunihiro
Miyata, Tetsuro
Source
Case Reports in Vascular Medicine
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-11-04
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
We report an autopsy case of aneurysm dissection that occurred 18 months after the implantation of a Zenith stent graft.
A 94-year-old woman, who had undergone an endovascular repair with postoperative reintervention, died of shock due to retroperitoneal hematoma.
An autopsy indicated that the stent graft remained firmly fixed to the native aorta, whereas the dissection occurred near the proximal edge of the stent graft but not at the point of attachment between the suprarenal stent hook and the aorta.
The luminal surface of the stent graft was almost completely covered with a transparent film with an endothelial cell lining, which might reflect the tissue regeneration observed on histological examination.
This was a rare case of acute aortic dissection that occurred 18 months after EVAR, in which the autopsy indicated interesting microscopic findings and the mechanisms underlying the aortic dissection.
We believe that aggressive reintervention at the proximal site in elderly women might cause the dissection of the native aorta.
American Psychological Association (APA)
Yamamoto, Satoshi& Hoshina, Katsuyuki& Okamoto, Hiroyuki& Shigematsu, Kunihiro& Miyata, Tetsuro& Watanabe, Toshiaki…[et al.]. 2013. Aortic Dissection Occurring 18 Months after Successful Endovascular Repair in an Anatomically Difficult Case of Abdominal Aortic Aneurysm. Case Reports in Vascular Medicine،Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-470091
Modern Language Association (MLA)
Okamoto, Hiroyuki…[et al.]. Aortic Dissection Occurring 18 Months after Successful Endovascular Repair in an Anatomically Difficult Case of Abdominal Aortic Aneurysm. Case Reports in Vascular Medicine No. 2013 (2013), pp.1-4.
https://search.emarefa.net/detail/BIM-470091
American Medical Association (AMA)
Yamamoto, Satoshi& Hoshina, Katsuyuki& Okamoto, Hiroyuki& Shigematsu, Kunihiro& Miyata, Tetsuro& Watanabe, Toshiaki…[et al.]. Aortic Dissection Occurring 18 Months after Successful Endovascular Repair in an Anatomically Difficult Case of Abdominal Aortic Aneurysm. Case Reports in Vascular Medicine. 2013. Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-470091
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-470091