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Coil embolization of a false aneurysm with aorto-cutaneous fistula after prosthetic graft replacement of the ascending aorta
- Source :
- European journal of radiology. 34(1)
- Publication Year :
- 2000
-
Abstract
- Aim: To report palliative embolization of a false aneurysm over the distal suture line of an ascending aorta graft replacement. Material and Method: A 78-year-old male patient was admitted for increasing bleeding of a chronic Manubrium ulceration, 20 months after coronary artery bypass complicated by perioperative ascending aorta dissection requiring prosthetic graft replacement. One month later, he underwent epiploplasty for a mediastinitis followed by long-term antibiotic therapy. Five months later, he presented with a Manubrium ulceration of the sternotomy. Spiral computerized tomography (CT) and aortography revealed a 20 mm anterior peri-prosthetic false aneurysm with a wide neck. Advanced age, active mediastinitis and patient’s objection led us to perform percutaneous occlusion according to the Moret remodeling technique while protecting the coils release with balloon catheter inflation. Results: No post-operative complication was observed and at 1-year follow-up the patient was doing well with no recurrent bleeding. Magnetic resonance imaging (MRI) and spiral CT controls confirmed coils stability without any internal flow. Conclusion: Percutaneous coils embolization of a large false aneurysm in the ascending aorta can be a palliative treatment in a surgically unsuited patient.
- Subjects :
- Male
medicine.medical_specialty
Aortography
Palliative care
medicine.medical_treatment
Cutaneous Fistula
Aortic Diseases
Aortic aneurysm
Blood Vessel Prosthesis Implantation
Aneurysm
Postoperative Complications
medicine.artery
Ascending aorta
medicine
Humans
Radiology, Nuclear Medicine and imaging
Embolization
Aorta
Aged
Vascular Fistula
medicine.diagnostic_test
business.industry
Anastomosis, Surgical
Palliative Care
Balloon catheter
General Medicine
medicine.disease
Mediastinitis
Embolization, Therapeutic
Surgery
Aortic Aneurysm
Chronic Disease
Radiology
business
Aneurysm, False
Subjects
Details
- ISSN :
- 0720048X
- Volume :
- 34
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- European journal of radiology
- Accession number :
- edsair.doi.dedup.....d1b353d6a29b6faf5fe03ddb417fe4e9