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Ann Thorac Surg 2006;81:1502-1505
© 2006 The Society of Thoracic Surgeons

Case report

Dislocation of a Stent-Graft Into the Aortic Arch During Endovascular Repair of a Descending Thoracic Aortic Aneurysm

Norbert Augustin, MD a , * , Robert Bauernschmitt, MD a , Jörg Hausleiter, MD b , Rüdiger Lange, MD a

a Department of Cardiovascular Surgery, German Heart Center Munich, Clinic at the Technical University, Munich, Germany
b Institute for Radiology and Nuclear Medicine, German Heart Center Munich, Clinic at the Technical University, Munich, Germany

Accepted for publication May 9, 2005.

* Address correspondence to Dr Augustin, Department of Cardiovascular Surgery, German Heart Center Munich, Clinic at the Technical University Munich, Lazarettstraße 36, München, D-80636 Germany (Email: augustin{at}dhm.mhn.de).

A 59-year-old man showed a saccular aneurysm due to a penetrating atherosclerotic ulcer, as well as a small type B aortic dissection located in the proximal descending aorta. The lesion was treated by the implantation of a stent-graft. On release, the stent-graft dislocated into the aortic arch. Intraoperative angiogram showed free perfusion of the brachiocephalic trunk and left common carotid artery; however, an overstenting of the carotid artery was apparent. Computed tomographic scan exhibited a complete covering of the supra-aortic vessels, and conventional, open aortic arch surgery was inevitable. A partial resection of the proximal part of the stent-graft was performed.






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