Trauma-Induced Thoracic Stent Graft Migration and Dissecting Aneurysm Rupture

Naoto Jingami; Tomoyuki Yunoki; Junichi Tazaki; Takuma Minami; Tatsuya Furutake; Manabu Shimoto; Kazuhisa Sakamoto; Takeshi Kimura; Shigeru Ohtsuru

doi:10.1016/j.atssr.2023.12.008

Trauma-Induced Thoracic Stent Graft Migration and Dissecting Aneurysm Rupture

Ann Thorac Surg Short Rep. 2024 Jan 5;2(2):223-225. doi: 10.1016/j.atssr.2023.12.008. eCollection 2024 Jun.

Authors

Naoto Jingami¹, Tomoyuki Yunoki¹, Junichi Tazaki², Takuma Minami¹, Tatsuya Furutake¹, Manabu Shimoto¹, Kazuhisa Sakamoto³, Takeshi Kimura², Shigeru Ohtsuru¹

Affiliations

¹ Department of Primary Care and Emergency Medicine, Kyoto University Graduate School of Medicine, Kyoto, Japan.
² Department of Cardiovascular Medicine, Kyoto University Graduate School of Medicine, Kyoto, Japan.
³ Department of Cardiovascular Surgery, Kyoto University Graduate School of Medicine, Kyoto, Japan.

Abstract

Thoracic endovascular aortic repair (TEVAR) is widespread. We report a case of graft migration and dissecting aneurysm rupture after trauma. An 82-year-old man with a history of TEVARs for chronic type B aortic dissection had sudden dyspnea and hemoptysis after falling from a stationary bicycle. Enhanced computed tomography revealed graft migration, endoleak, and dissecting aneurysm rupture. TEVAR was repeated emergently, and he was discharged without complications. Blunt injury to the trunk of the body may cause graft migration and aortic rupture in the chronic phase after TEVAR. This report describes graft migration and rupture induced by trauma.

Publication types

Case Reports