Endovascular treatment for proximal anastomotic pseudoaneurysm after total arch replacement in Behcet's disease

Tomoki Sakata; Hideki Ueda; Michiko Watanabe; Hiroki Kohno; Yusaku Tamura; Shinichiro Abe; Yuichi Inage; Hiroki Ikeuchi; Tomoyoshi Kanda; Masahiko Fujii; Goro Matsumiya

doi:10.1016/j.avsg.2016.01.016

Endovascular treatment for proximal anastomotic pseudoaneurysm after total arch replacement in Behcet's disease

Tomoki Sakata, Hideki Ueda, Michiko Watanabe, Hiroki Kohno, Yusaku Tamura, Shinichiro Abe, Yuichi Inage, Hiroki Ikeuchi, Tomoyoshi Kanda, Masahiko Fujii, Goro Matsumiya

Research output: Contribution to journal › Article › peer-review

4 Scopus citations

Abstract

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.

Original language	English
Pages (from-to)	272.e9-272.e12
Journal	Annals of Vascular Surgery
Volume	34
DOIs	https://doi.org/10.1016/j.avsg.2016.01.016
State	Published - 1 Jul 2016
Externally published	Yes

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title = "Endovascular treatment for proximal anastomotic pseudoaneurysm after total arch replacement in Behcet's disease",

abstract = "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.",

author = "Tomoki Sakata and Hideki Ueda and Michiko Watanabe and Hiroki Kohno and Yusaku Tamura and Shinichiro Abe and Yuichi Inage and Hiroki Ikeuchi and Tomoyoshi Kanda and Masahiko Fujii and Goro Matsumiya",

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T1 - Endovascular treatment for proximal anastomotic pseudoaneurysm after total arch replacement in Behcet's disease

AU - Sakata, Tomoki

AU - Ueda, Hideki

AU - Watanabe, Michiko

AU - Kohno, Hiroki

AU - Tamura, Yusaku

AU - Abe, Shinichiro

AU - Inage, Yuichi

AU - Ikeuchi, Hiroki

AU - Kanda, Tomoyoshi

AU - Fujii, Masahiko

AU - Matsumiya, Goro

PY - 2016/7/1

Y1 - 2016/7/1

N2 - 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.

AB - 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.

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VL - 34

SP - 272.e9-272.e12

JO - Annals of Vascular Surgery

JF - Annals of Vascular Surgery

ER -

Endovascular treatment for proximal anastomotic pseudoaneurysm after total arch replacement in Behcet's disease

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