Late complications of the Djumbodis system in patients with type A acute aortic dissection

Interact Cardiovasc Thorac Surg. 2020 Nov 1;31(5):704-707. doi: 10.1093/icvts/ivaa178.

Abstract

The Djumbodis system is a metallic stent designed to prevent false lumen dilatation after repair of acute aortic dissection. Although the exact number of Djumbodis stents inserted worldwide could not be ascertained from a review of the literature, available data indicate 9 specific device-related complications from 4 patient series and 3 case reports: stent deformity or fracture (4), progressive enlargement of the distal false lumen (3) and distal pseudoaneurysm (1); a further patient with pseudoaneurysm of the distal suture line is added from personal observation. The present review confirms the inability of the Djumbodis stent to provide reduction and/or elimination of the false lumen after repair of type A dissection, highlighting peculiar device-related complications. Current survivors with a Djumbodis stent should undergo close follow-up to prevent possible catastrophic events due to device failure.

Keywords: Acute aortic dissection; Aorta; Djumbodis dissection system.

Publication types

  • Review

MeSH terms

  • Aged
  • Aortic Aneurysm, Thoracic / surgery*
  • Aortic Dissection / surgery*
  • Blood Vessel Prosthesis Implantation / adverse effects*
  • Blood Vessel Prosthesis Implantation / instrumentation*
  • Female
  • Humans
  • Incidence
  • Male
  • Middle Aged
  • Postoperative Complications / epidemiology*
  • Self Expandable Metallic Stents / adverse effects*
  • Time Factors
  • Treatment Outcome