Appearance and rapid evolution of thoraco-abdominal intramural hematoma after TEVAR.

JRSM Cardiovasc Dis

Vascular Surgery, Department of Clinical and Experimental Sciences, University of Brescia, Spedali Civili Hospital, Brescia, Italy.

Published: May 2017

Some studies consider the different physical properties of the stent graft when compared with the blood vessel on the basis of vascular lesions that may require further intervention. We present a case in which a patient developed an intramural hematoma at the distal landing of previous thoracic endovascular aortic repair (TEVAR) that required the relining with a flared prosthesis. During follow-up, we observed the appearance of more caudal hematoma. We decided to observe this lesion with close radiological controls. In order to prevent serious complication after the induction of TEVAR, accurate planning of the procedure is very important to study the impact of the prosthesis implanted in the cardiovascular system. In particular, oversize, radial forces and length of coverage have been taken into account. The adherence to follow-up is very important to precociously detect the lesions to avoid the onset of complication.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5461912PMC
http://dx.doi.org/10.1177/2048004017710884DOI Listing

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