Abstract
Endovascular stent grafting has been recently considered as a less invasive alternative to either medical therapy or open surgical treatment for many patients with descending thoracic aortic disease. Late complications are rarely described in literature. Herein, we described the occurrence of an aorto-bronchial fistula and a retro-A dissection in a 73-year-old man after stent-grafting for a penetrating atherosclerotic ulcer (PAU) of the descending thoracic aorta and the successful surgical technique adopted in order to remove the stent-graft.
Highlights
Endovascular stent grafting has been considered as a less invasive alternative to either medical therapy or open surgical treatment for many patients with descending thoracic aortic disease
The Expert Consensus Document on the Treatment of Descending Thoracic Aortic Disease Using Endovascular StentGrafts has recently declared that, despite reasonably low early operative morbidity and mortality, late complications of thoracic aortic stent grafting are much more common than those reported for the open aortic surgery [1]
Late complications described in literature after endovascular stent grafting include endoleaks, graft migration, stent fractures and aneurysm-related death
Summary
Background Endovascular stent grafting has been considered as a less invasive alternative to either medical therapy or open surgical treatment for many patients with descending thoracic aortic disease. The Expert Consensus Document on the Treatment of Descending Thoracic Aortic Disease Using Endovascular StentGrafts has recently declared that, despite reasonably low early operative morbidity and mortality, late complications of thoracic aortic stent grafting are much more common than those reported for the open aortic surgery [1].
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