A Case of TEVAR for Type III Endoleakage due to Matsui-Kitamura Stentgraft Fracture in Long-Term Period

Masami Sotokawa＊	Tetsuyuki Ueda＊	Shota Nakagaki＊
Kazuhiro Tani＊	Shingo Otaka＊	Akira Murata＊

（Department of Cardiovascular Surgery, Toyama Prefectural Central Hospital＊, Toyama, Japan）

A 74-year-old male who had a medical history of thoracic endovascular aortic repair（TEVAR）was referred to us for endoleakage. A total of 21 years ago, he underwent emergent descending aortic grafting for aortic aneurysm rupture at his age of 53. After that, 19 years ago, he underwent TEVAR with Matsui-Kitamura stent graft（MKSG）due to pseudoaneurysm formation at the proximal anastomotic site at the age of 55. CT revealed type III endoleakage due to fracture of MKSG and graft. We proceeded to perform TEVAR with Relay Plus successfully, and his endoleakage disappeared. His postoperative course was uneventful. He was discharged from our hospital on the 9th day after the operation, and is now doing well.

 

Jpn. J. Cardiovasc. Surg. 46:311-315（2017）

Keywords：Matsui-Kitamura stent graft;stent graft fracture;type III endoleakage;long-term