Revised Endografting for a Giant Descending Thoracic Aorta Aneurysm due to Synchronous Type III/Ib Endoleak, Causing Dysphagia

Dysphagia aortica secondary to thoracoabdominal aortic aneurysm resolved after endograft placement

“…In the remaining four patients treated with TEVAR, postoperative dysphagic symptoms were not reported in one case, 10 and the other three patients did not survive long enough postoperatively for assessment of resolution of dysphagia. Causes of death included disease-specific causes, such as esophageal necrosis, and general causes, such as arrhythmia and hospital-acquired infection 11, 12, 13. Despite these reports of poor outcomes, these patients were considerably more unstable or medically comorbid.…”

Rescue Snorkel Technique in a Giant Ruptured Aortic Aneurysm With Thoracic Endovascular Aortic Repair Failure

“…Traditionally, open repair has been the treatment of choice, especially for those with aortic rupture; however, this carries significant morbidity and mortality (30-day mortality of 33% and major complications between 5.5% and 11.1%). Recently, some case reports suggest that TEVAR is an effective and possibly advantageous treatment for this group of patients because of its lower rates of perioperative morbidity and mortality (30-day mortality of 19%) compared with surgical repair ( 5 , 6 ). TEVAR complications includes stroke, spinal cord ischemia, retrograde type A dissection, and prosthesis endoleaks ( 6 ).…”

“…Recently, some case reports suggest that TEVAR is an effective and possibly advantageous treatment for this group of patients because of its lower rates of perioperative morbidity and mortality (30-day mortality of 19%) compared with surgical repair ( 5 , 6 ). TEVAR complications includes stroke, spinal cord ischemia, retrograde type A dissection, and prosthesis endoleaks ( 6 ). In our center, treatment of aortic aneurysms and their complications, including aortic rupture, is individualized and based on the Heart Team decision.…”