Custom Made Fenestrated Stent Graft Collapse after Thoracic Endovascular Aortic Repair: A Case Report

We performed thoracic endovascular aortic repair with a custom-made fenestrated stent graft and present a case of stent graft collapse after thoracic endovascular aortic repair. The pa-tient was a 70-year-old woman with an asymptomatic aneurysm of the distal aortic arch, and thoracic endovascular aortic repair was performed with a custom-made fenestrated stent graft. The patient showed a blood pressure difference between the left and right arms on postoperative day (POD) 17 prompting per-formance of a chest computed tomographys can which revealed stent graft collapse. She then underwent staged debranching thoracic endovascular aortic repair. Stent graft collapse is a rare but well-described complication of thoracic endovascular repair. Therefore, patients who undergo such a procedure should be carefully monitored for signs and symptoms, which suggest the possibility of stent collapse.