Thoracic Endovascular Aortic Repair for Perigraft Seroma After Ascending Aorta Replacement

Takuma Kurotaki MD , Naritomo Nishioka MD, PhD , Kento Hanada MD , Keita Sasaki MD , Shuhei Miura MD , Takahiko Masuda MD , Ryushi Maruyama MD, PhD , Shuichi Naraoka MD, PhD , Akira Yamada MD, PhD , Yoshihiko Kurimoto MD, PhD
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Abstract

We report on a successful thoracic endovascular aortic repair for perigraft seroma (PGS) after ascending aorta replacement (AAR). An 82-year-old man underwent AAR. Two years after the operation, computed tomography showed a 75-mm PGS around the ascending aorta. The Valiant Navion thoracic stent graft system was deployed along the ascending aorta because of a minimally invasive procedure. Computed tomography showed that the diameter of the PGS had decreased to 68 mm. Two years after discharge, the diameter of the PGS was unchanged. It may be prudent to consider thoracic endovascular aortic repair for PGS after AAR.
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胸腔内血管主动脉修复术治疗升主动脉置换术后移植物周围血肿
我们报道一例在升主动脉置换术(AAR)后成功的胸廓血管内主动脉修复术。一名82岁男性接受了AAR。手术两年后,计算机断层扫描显示升主动脉周围有75毫米的PGS。由于微创手术,Valiant navon胸腔支架系统沿升主动脉部署。计算机断层扫描显示PGS直径减小至68 mm。放电2年后,PGS的直径没有变化。对于AAR后的PGS患者,考虑胸腔血管内主动脉修复可能是谨慎的。
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