A Case of Endovascular Aortic Repair with a Vascular Embolic Device and Stent-Graft for the Anastomotic Pseudoaneurysm in the Ascending Aorta

Soichi Asano	Naoki Hayashida	Masanao Ohba
Kozo Matsuo	Hiroyuki Kito	Nobuyuki Hirose
Takuto Maruyama	Masashi Kabasawa	Hideomi Hasegawa
Hirokazu Murayama

（Department of Cardiovascular Surgery, Chiba Cerebral and Cardiovascular Center＊, Ichihara, Japan）

We report a case of a 72-year-old woman, who had an anastomotic pseudoaneurysm in the ascending aorta, successfully treated by endovascular aortic repair with vascular embolic devise and stent-graft. It seemed to be high risk to achieve conventional surgery with extracorporeal circulation, therefore we selected endovascular treatment because she had a bleeding tendency which derived from disseminated intravascular coagulation. Then, we adopted stent-grafting with a vascular embolic device, because the distal side of pseudoaneurysm had too short a landing zone to cover the stent-graft only. The patient well tolerated this procedure and her postoperative course was uneventful. The pseudoaneurysm shrank at 6th months after operation.

 

Jpn. J. Cardiovasc. Surg. 45:238-241（2016）

Keywords：vascular embolic plug;TEVAR;ascending anastomotic pseudoaneurysm