TITLE:
Total Thrombosis of Bifurcated Endoprosthesis: A Rare Complication of Endovascular Treatment of Abdominal Aortic Aneurysm
AUTHORS:
Birama Togola, Bréhima Bengaly, Madiassa Konaté, Laurent Muller, Olivier Szymoniak, Mahamadou Coulibaly, Drissa Traoré, Bréhima Coulibaly, Skaiste Vaitkevicienne, Michel Peret, Nouhoum Ongoiba, Jean Louis Debrux
KEYWORDS:
Aneurysm, Abdominal Aorta, Endovascular, Complications, Stent Thrombosis
JOURNAL NAME:
Surgical Science,
Vol.10 No.9,
September
26,
2019
ABSTRACT: Background: Aortic stents are a therapeutic alternative to open surgery of
abdominal aortic aneurysms. We report a case of treatment of an abdominal
aortic aneurysm with a bifurcated stent, complicated by total thrombosis. Aim: The purpose of this presentation was to understand the causes, mechanisms,
incidents and accidents that contributed to this complication. Case
Presentation: A 48-year-old man patient with a history of high blood pressure,
ischemic heart disease, chronic obstructive pulmonary disease, who was
found during a surveillance check-up, an infra-renal abdominal aorta aneurysm
measured at 56 mm in diameter, asymptomatic but progressive. The indication
of an endovascular treatment by the placement of a bifurcated prosthesis
was posed and accepted. Thrombosis of the two limbs was intra-operative, upper-end migration without endoleak at 4 months postoperative,
total thrombosis of the stent at 13 months postoperatively. Explantation
of the stent followed by aortobi-iliac bypass was finally performed in the 15th month. Conclusion: The cardiopulmonary antecedents, the anatomical and
evolutionary characteristics of the aneurysm could have played a role in the
occurrence of the complications observed in this patient.