A Re-Expanding Descending Thoracic Aortic Aneurysm after Stent-Grafting

(Department of Surgery II, Ehime University School of Medicine, Ehime, Japan)

Nobuo Tsunooka Kanji Kawachi Yoshihiro Hamada
Tatsuhiro Nakata Yoshitsugu Nakamura Katsutoshi Miyauchi
Hiroshi Imagawa
A descending thoracoaortic aneurysm excluded by stent-grafting had expanded during a period of one and a half years. There was no endoleakage but there was shortening of the stent-landing on both proximal and distal sides. Aneurysm seemed to be pressed by blood pressure through the graft in TEE. The aneurysm was replaced by an artificial graft through a left heart bypass. Because ESP diminished during the operation, VIth intercostal arteries were reconstructed immediately, and CSF drainage was performed. Following this procedure there was no paraplegia.
@Jpn. J. Cardiovasc. Surg. 32: 38-40 (2003)