Articles: aortic-rupture-etiology.
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The aim was to assess the risk of rupture, and determine the benefits of intervention for the treatment of type II endoleak after endovascular abdominal aortic aneurysm repair (EVAR). ⋯ Aortic aneurysm rupture after EVAR secondary to an isolated type II endoleak is rare (less than 1 per cent), but over a third occur in the absence of sac expansion. Translumbar embolization had a higher success rate with a lower risk of complications.
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Connecticut medicine · Feb 2013
Case ReportsComplicated penetrating ulcer of the ascending aorta: similar to dissection, yet different.
Life-threatening acute aortic syndrome includes aortic dissection, intramural hematoma (IMH) and penetrating atherosclerotic ulcer (PAU). PAU and IMH carry a greater risk for aortic rupture. ⋯ Early diagnosis and intervention is crucial. We present the case of a 72-year-old female with a PAU of the ascending aorta complicated by hemopericardium with tamponade as well as IMH, successfully treated after rapid diagnosis and intervention, followed by a brief literature review.
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Chinese medical journal · Jan 2013
Perioperative aortic dissection rupture after endovascular stent graft placement for treatment of type B dissection.
The perioperative aortic dissection (AD) rupture is a severe event after endovascular stent graft placement for treatment of type B AD. However, this life-threatening complication has not undergone systematic investigation. The aim of the study is to discuss the reasons of AD rupture after the procedure. ⋯ Thoracic AD endovascular repair is a safe and effective treatment option for AD with relative low in-hospital mortality. AD rupture may be more common in arch stent-graft patients with an ascending aortic diameter = 4 cm and with severe dissection that needs multi-stent placement. Attention should be paid to a proximal bare spring stent that has a higher probability of inducing an AD rupture. Post balloon dilation should be performed with serious caution, particularly for the migration during dilation.
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Ann Thorac Cardiovasc Surg · Jan 2013
Case ReportsAortic bleeding one week after removal of an intraoperative epicardial temporary pacing wire.
A 56-year-old man had left nephrectomy and resection of a cavoatrial tumor thrombus under a cardiopulmonary bypass assist for left renal cell carcinoma. An intraoperative bipolar temporary epicardial atrial pacing wire was removed on postoperative day 8. The patient collapsed on postoperative day 15. ⋯ It is well known that the intraoperative temporary epicardial pacing wire can cause bleeding or arrhythmia, especially when the wire is being removed. However, bleeding usually occurs from the inserted epicardial point of the pacing wire soon after removal of the wire. To our knowledge, this late bleeding complication of the pacing wire is a previously unreported serious iatrogenic complication after cardiac surgery.