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

Research output: Contribution to journalArticlepeer-review

61 Scopus citations

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 stentgrafts 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.

Original languageEnglish (US)
Pages (from-to)454-458
Number of pages5
JournalCardiovascular and Interventional Radiology
Volume21
Issue number6
DOIs
StatePublished - Nov 1 1998

Keywords

  • Aorta
  • Aortic ulcer
  • Dissection
  • Graft
  • Prosthesis
  • Thoracic aneurysm

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