Pseudo-coarctation Following TEVAR in a Young Triathlete

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• 作者：P.O. Myers^a ; ^{patrick.myers@hcuge.ch} ; A. Kalangos^a ; A. Panos^b
• 关键词：TEVAR ; Traumatic isthmic rupture ; TEVAR complication
• 刊名：EJVES Extra
• 出版年：2013
• 出版时间：August, 2013
• 年：2013
• 卷：26
• 期：2
• 页码：e20-e21
• 全文大小：529 K

文摘

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Introduction

Thoracic endovascular aortic repair (TEVAR) has become the main treatment of traumatic aortic isthmic rupture. The long-term complications of TEVAR may be more important in a young patient population.

Report

A 33-year-old triathlete who had undergone successful TEVAR for aortic isthmus rupture, was diagnosed with resistant hypertension 6 years later. CT angiography showed stent dislocation mimicking a coarctation. He underwent successful surgical repair.

Discussion

Device collapse is a phenomenon observed after TEVAR for blunt thoracic aorta injury. Current testing of endografts are insufficient for the long lifespan of survivors of traumatic isthmic rupture. This case illustrates this complication.