Stent-Graft Relining in a Patient with Acute Aortic Aneurysm and a Completely Migrated Endograft

• Main Authors: Jayandiran Pillai, Ceyhan Yazicioglu, Mahad Omar, Martin G. Veller
• Format: Article
• Language: English
• Published: Sociedade Brasileira de Cirurgia Cardiovascular
• Series: Brazilian Journal of Cardiovascular Surgery
• Subjects: Endovascular Procedures; Aortic Aneurysm, Abdominal; Stents/adverse effects; Blood Vessel Prosthesis/adverse effects; Blood Vessel Prosthesis Implantation/adverse effects; Minimally Invasive Surgical Procedures/adverse effects
• Online Access: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382017000600545&lng=en&tlng=en

Abstract Stent-graft migration and type I endoleaks are associated with a higher rate of reintervention and increased mortality and morbidity. This article describes a patient presented with an infrarenal aortic stent-graft which had migrated into the aortic sac with loss of all aortic neck attachment. The acutely expanding abdominal aortic aneurysm was treated by placing a second modular endograft within and above the migrated stentgraft. The patient returned 36 months later, with features of an acute myocardial infarction, severe bilateral lower limb ischemia, and renal failure. He was too ill for intervention and demised within 48 hours.