Emergency Endovascular Deployment of Stent Graft in the Ascending Aorta for Contained Rupture of Innominate Artery Pseudoaneurysm in a Pediatric Patient

Wilson Y. Szeto, Ronald M. Fairman, Michael A. Acker, Christopher L. Skelly, John G.T. Augoustides, Michael McGarvey, Edward Y. Woo, Omaida C. Velazquez

Research output: Contribution to journalArticle

15 Scopus citations

Abstract

Endovascular approaches to treat aortic diseases have become an important alternative to open surgical intervention in aortic pathologies. We report a case of an emergency placement of a stent graft in a 16-year-old boy with a contained rupture of an innominate artery pseudoaneurysm. This patient had been previously treated for a mediastinal T-cell lymphoma and underwent mediastinal chemoradiation. He developed tracheal stenosis, requiring multiple tracheal reconstructive surgical procedures, and subsequently emergency ligation of a tracheal-innominate fistula. A pseudoaneurysm of the previously ligated innominate artery developed. Despite coil embolization, it continued to enlarge, requiring emergency endovascular intervention. A pseudoaneurysm of the previously ligated innominate artery subsequently developed, and despite coil embolization, it continued to enlarge, which required emergency endovascular intervention.

Original languageEnglish (US)
Pages (from-to)1872-1875
Number of pages4
JournalAnnals of Thoracic Surgery
Volume81
Issue number5
DOIs
StatePublished - May 1 2006
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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