Massive pseudoaneurysm caused by fabric tear of a thoracic endovascular aortic repair stent graft 15 years after the initial procedure
Long-term durability of thoracic endovascular aortic repair remains uncertain, and late type IIIb endoleak due to fabric tear is a serious concern. We report a 59-year-old man who presented with progressive back pain and a large pseudoaneurysm 15 years after the initial procedure for a ruptured thor...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-10-01
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| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428725001704 |
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| author | Kotaro Mukasa, MD Yasunori Yakita, MD, PhD Musashi Tsuda, MD Shinichiro Abe, MD, PhD Soichi Asano, MD, PhD |
| author_facet | Kotaro Mukasa, MD Yasunori Yakita, MD, PhD Musashi Tsuda, MD Shinichiro Abe, MD, PhD Soichi Asano, MD, PhD |
| author_sort | Kotaro Mukasa, MD |
| collection | DOAJ |
| description | Long-term durability of thoracic endovascular aortic repair remains uncertain, and late type IIIb endoleak due to fabric tear is a serious concern. We report a 59-year-old man who presented with progressive back pain and a large pseudoaneurysm 15 years after the initial procedure for a ruptured thoracic aneurysm. Intraoperative angiography localized a type IIIb endoleak that originated from a fabric tear in the third stent segment. Urgent endovascular repair with complete graft relining successfully excluded the endoleak, resulting in symptom resolution and pseudoaneurysm regression. This case underscores the risk of very late type IIIb endoleaks and the need for lifelong imaging surveillance and prompt evaluation of new symptoms. |
| format | Article |
| id | doaj-art-03889f68fe71456a8d0677dcfb9a01ab |
| institution | Kabale University |
| issn | 2468-4287 |
| language | English |
| publishDate | 2025-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj-art-03889f68fe71456a8d0677dcfb9a01ab2025-08-20T03:50:49ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872025-10-0111510188810.1016/j.jvscit.2025.101888Massive pseudoaneurysm caused by fabric tear of a thoracic endovascular aortic repair stent graft 15 years after the initial procedureKotaro Mukasa, MD0Yasunori Yakita, MD, PhD1Musashi Tsuda, MD2Shinichiro Abe, MD, PhD3Soichi Asano, MD, PhD4Correspondence: Kotaro Mukasa, MD, Department of Cardiovascular Surgery, Chiba Cardiovascular Center, 575 Tsurumai, Ichihara, Chiba 290-0512, Japan; Department of Cardiovascular Surgery, Chiba Cardiovascular Center, Chiba, JapanDepartment of Cardiovascular Surgery, Chiba Cardiovascular Center, Chiba, JapanDepartment of Cardiovascular Surgery, Chiba Cardiovascular Center, Chiba, JapanDepartment of Cardiovascular Surgery, Chiba Cardiovascular Center, Chiba, JapanDepartment of Cardiovascular Surgery, Chiba Cardiovascular Center, Chiba, JapanLong-term durability of thoracic endovascular aortic repair remains uncertain, and late type IIIb endoleak due to fabric tear is a serious concern. We report a 59-year-old man who presented with progressive back pain and a large pseudoaneurysm 15 years after the initial procedure for a ruptured thoracic aneurysm. Intraoperative angiography localized a type IIIb endoleak that originated from a fabric tear in the third stent segment. Urgent endovascular repair with complete graft relining successfully excluded the endoleak, resulting in symptom resolution and pseudoaneurysm regression. This case underscores the risk of very late type IIIb endoleaks and the need for lifelong imaging surveillance and prompt evaluation of new symptoms.http://www.sciencedirect.com/science/article/pii/S2468428725001704Thoracic endovascular aortic repairEndoleakDescending aorta |
| spellingShingle | Kotaro Mukasa, MD Yasunori Yakita, MD, PhD Musashi Tsuda, MD Shinichiro Abe, MD, PhD Soichi Asano, MD, PhD Massive pseudoaneurysm caused by fabric tear of a thoracic endovascular aortic repair stent graft 15 years after the initial procedure Journal of Vascular Surgery Cases and Innovative Techniques Thoracic endovascular aortic repair Endoleak Descending aorta |
| title | Massive pseudoaneurysm caused by fabric tear of a thoracic endovascular aortic repair stent graft 15 years after the initial procedure |
| title_full | Massive pseudoaneurysm caused by fabric tear of a thoracic endovascular aortic repair stent graft 15 years after the initial procedure |
| title_fullStr | Massive pseudoaneurysm caused by fabric tear of a thoracic endovascular aortic repair stent graft 15 years after the initial procedure |
| title_full_unstemmed | Massive pseudoaneurysm caused by fabric tear of a thoracic endovascular aortic repair stent graft 15 years after the initial procedure |
| title_short | Massive pseudoaneurysm caused by fabric tear of a thoracic endovascular aortic repair stent graft 15 years after the initial procedure |
| title_sort | massive pseudoaneurysm caused by fabric tear of a thoracic endovascular aortic repair stent graft 15 years after the initial procedure |
| topic | Thoracic endovascular aortic repair Endoleak Descending aorta |
| url | http://www.sciencedirect.com/science/article/pii/S2468428725001704 |
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