Emergency stent-graft placement for impending rupture of the descending thoracic aorta

H. Joachim Nesser, Holger Eggebrecht, Dietrich Baumgart, Christian Ebner, Manfred Gschwendtner, Jörg Barkhausen, Raimund Erbel*, Christoph A. Nienaber

*Corresponding author for this work
13 Citations (Scopus)

Abstract

Purpose: To present initial experience with emergent stent-graft placement for impending rupture of the descending thoracic aorta. Case Reports: Intramural hematoma (IMH) of the descending thoracic aorta was diagnosed by transesophageal echocardiography and computed tomography in 3 patients with acute onset of severe thoracic pain. Because of signs of impending rupture, e.g., pleural effusion, sustained pain, or transadventitial bleeding, the patients underwent emergency stent-graft placement, which was successful in all cases. No procedure-related complications were observed. Follow-up to 18 months has revealed no evidence of endoleak, and all patients remain free of symptoms. Conclusions: Emergency stent-graft placement may be a promising alternative to conventional surgery in patients with impending aortic rupture due to IMH.

Original languageEnglish
JournalJournal of Endovascular Therapy
Volume9
Issue numberSUPPL. 2
ISSN1526-6028
Publication statusPublished - 01.08.2002

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