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Open surgical repair for a perigraft leak after endovascular stent-graft emplacement of descending thoracic aneurysm

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Abstract

Although transluminal stent-graft implantation is less invasive for treating an aneurysm in the thoracic descending aorta, this technique is not always successful. Here, we report two cases of a perigraft leak identified after stent-graft deploment, and complete occlusion of the leak could not be attained by additional stent-graft deployment. Open surgical repair using a stented graft was performed through a median sternotomy without opening the left pleura. This procedure should be considered as one of the less-invasive techniques for treating a perigraft leak after endovascular stent-graft emplacement.

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Authors and Affiliations

  1. Department of Cardiovascular Surgery, Graduate School of Medicine, Tohoku University, 1-1 Seiryomachi, Aoba-ku, 980-8574, Sendai, Japan

    Atsushi Iguchi MD, Yusuke Tsuru MD, Hitoshi Yokoyama MD & Koichi Tabayashi MD

Authors
  1. Atsushi Iguchi MD
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  2. Yusuke Tsuru MD
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  3. Hitoshi Yokoyama MD
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  4. Koichi Tabayashi MD
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Iguchi, A., Tsuru, Y., Yokoyama, H. et al. Open surgical repair for a perigraft leak after endovascular stent-graft emplacement of descending thoracic aneurysm. Jpn J Thorac Caridovasc Surg 49, 618–620 (2001). https://doi.org/10.1007/BF02916226

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  • DOI: https://doi.org/10.1007/BF02916226

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