Endovascular Treatment for Proximal Anastomotic Pseudoaneurysm after Total Arch Replacement in Behcet's Disease

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• 作者：Tomoki Sakata ; ^{bpbck570@ybb.ne.jp" class="auth_mail" title="E-mail the corresponding author} ; Hideki Ueda ; Michiko Watanabe ; Hiroki Kohno ; Yusaku Tamura ; Shinichiro Abe ; Yuichi Inage ; Hiroki Ikeuchi ; Tomoyoshi Kanda ; Masahiko Fujii ; Goro Matsumiya
• 刊名：Annals of Vascular Surgery
• 出版年：2016
• 出版时间：July 2016
• 年：2016
• 卷：34
• 期：Complete
• 页码：272.e9-272.e12
• 全文大小：483 K

文摘

A 17-year-old patient underwent total arch replacement for aortic arch aneurysm due to vascular Behcet's disease (BD). Follow-up computed tomography, performed 6 months after the operation, demonstrated pseudoaneurysm formation at the proximal anastomotic site. We performed endovascular treatment and used a short stent graft that was originally designed for abdominal aortic aneurysm. To avoid the occlusion of the coronary or brachiocephalic artery (BCA) due to stent graft migration, we used right ventricular rapid pacing and BCA ballooning. Thus, we believe that endovascular treatment can be used for anastomotic complications in the ascending aorta after open surgery for connective tissue disorders including BD.