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CardioVascular and Interventional Radiology

, Volume 21, Issue 6, pp 454–458 | Cite as

Penetrating atherosclerotic ulcer of the descending thoracic aorta: Treatment by endovascular stent-Graft

  • Salvatore Murgo
  • Luc Dussaussois
  • Jafar Golzarian
  • Jean Christophe Cavenaile
  • Hicham Tarik Abada
  • José Ferreira
  • Julien Struyven
Clinical Investigations

Abstract

Purpose: To present four cases of penetrating ulcer of the descending thoracic aorta treated by transfemoral insertion of an endoluminal stent-graft.

Methods: Four patients with penetrating aortic ulcers were reviewed. Three cases were complicated by rupture, false aneurysm, or retrograde dissection. All patients were treated by endovascular stent-graft and were followed by helical computed tomography (CT).

Results: Endovascular stent-graft deployment was successful in all patients. However, in one case we observed a perigraft leak that spontaneously disappeared within the first month, and two interventions were needed for another patient. Following treatment, one episode of transient spinal ischemia was observed. The 30-day survival rate was 100%, but one patient died from pneumonia with cardiac failure 34 days after the procedure. In one patient, helical CT performed at 3 months showed a false aneurysm independent of the first ulcer. This patient refused any further treatment and suddenly died at home (unknown cause) after a 6-month follow-up period.

Conclusion: Transluminal placement of endovascular stent-grafts for treatment of penetrating ulcers of the descending thoracic aorta appears to be a possible alternative to classical surgery. After treatment, follow-up by CT is essential to detect possible complications of the disease.

Key words

Aorta Aortic ulcer Thoracic aneurysm Dissection Graft Prosthesis 

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Copyright information

© Springer-Verlag 1998

Authors and Affiliations

  • Salvatore Murgo
    • 1
  • Luc Dussaussois
    • 1
  • Jafar Golzarian
    • 1
  • Jean Christophe Cavenaile
    • 2
  • Hicham Tarik Abada
    • 1
  • José Ferreira
    • 2
  • Julien Struyven
    • 1
  1. 1.Department of Radiology, Hôpital ErasmeUniversité Libre de BruxellesBrusselsBelgium
  2. 2.Department of Vascular Surgery, Hôpital ErasmeUniversité Libre de BruxellesBrusselsBelgium

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