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Prosthetic vascular graft rupture caused by claw-type rib fixation strut: a case report
General Thoracic and Cardiovascular Surgery ( IF 1.2 ) Pub Date : 2021-09-17 , DOI: 10.1007/s11748-021-01697-z
Akira Hiwatashi 1 , Kosuke Mukaihara 1 , Kazuya Terazono 1 , Shuji Nagatomi 1 , Yuta Shiramomo 1 , Naoki Tateishi 1 , Tamahiro Kinjo 1 , Hitoshi Nakashima 2 , Junichi Ideue 3 , Yoshiharu Soga 4
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A 66-year-old-man who had undergone partial aortic arch and descending aortic graft replacement for a dissecting aortic aneurysm presented to our hospital with pain and beating swelling of his left back shoulder. Enhanced computed tomography and aortic angiography revealed graft rupture caused by one of the claws of a rib fixation strut. Furthermore, another claw had invaded a lung. We performed emergency thoracic endovascular aortic repair, and removed all of the struts 3 weeks later. Claw-type rib fixation struts have the potential to injure other organs, including prosthetic grafts. Careful follow-up is mandatory after implantation of this type of strut.



中文翻译:

爪式肋骨固定支柱致人工血管移植物破裂一例报告

一名 66 岁的男性因夹层主动脉瘤接受了部分主动脉弓和降主动脉移植物置换术,因左后肩疼痛和跳动肿胀到我院就诊。增强的计算机断层扫描和主动脉血管造影显示由肋骨固定支柱的一个爪引起的移植物破裂。此外,另一只爪子侵入了肺部。我们进行了紧急胸主动脉腔内修复术,并在 3 周后移除了所有支柱。爪型肋骨固定支柱有可能伤害其他器官,包括假体移植物。在植入这种类型的支柱后,必须进行仔细的随访。

更新日期:2021-09-19
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