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

作     者：Yasuhiko Kobayashi Mitsugu Fukuda Shoji Sakaguchi Yoshihisa Nakao Kiyoshi Nishimine Yasuhiko Kobayashi;Mitsugu Fukuda;Shoji Sakaguchi;Yoshihisa Nakao;Kiyoshi Nishimine

作者机构：Department of Cardiovascular Surgery Yao Tokushukai General Hospital Osaka Japan Department of Treatment in Aortic Stent Graft/Blood Vessel Matsubara Tokushukai Hospital Osaka Japan 

出 版 物：《Case Reports in Clinical Medicine》 (临床医学病理报告（英文）)

年 卷 期：2023年第12卷第8期

页      面：299-305页

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Thoracic Endovascular Aortic Repair Collapse Custom Made Fenestrated Stent Graft Bird-Beak Deformity 

摘      要：We present a case of stent graft collapse after performing thoracic endovascular aortic repair with a custom-made fenestrated stent graft. The patient was a 70-year-old woman with an asymptomatic aneurysm of the distal aortic arch, and thoracic endovascular aortic repair was performed. The patient showed a blood pressure difference between the left arm and the right arm on postoperative day (POD) 17 prompting the performance of a chest computed tomography scan which revealed stent graft collapse. She then underwent staged debranching of 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.