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Endovascular Stent-Graft Repair of Penetrating Descending Thoracic Aortic Ulcer

Department of Surgery, Walter Reed Army Medical Center, Washington DC, gaidinian{at}hotmail.com

Paul S. Massimiano, MD

INOVA Health System, Fairfax Hospital, Falls Church, Virginia

Alan M. Speir, MD

INOVA Health System, Fairfax Hospital, Falls Church, Virginia

Dipankar Mukherjee, MD

INOVA Health System, Fairfax Hospital, Falls Church, Virginia

This article presents a case in which covered stent-graft cuffs were used to treat a penetrating ulcer of the descending thoracic aorta. An 80-year-old woman presented with penetrating ulcer in the descending thoracic aorta. Two endovascular stent graft cuffs were used for total exclusion of the penetrating ulcer, because the patient had a high operative risk. Her postoperative course was uneventful, and follow-up computed tomographic angiography showed complete coverage of the ulcer without evidence of leak. This case demonstrates that endoluminal stent-graft repair of penetrating descending thoracic aortic ulcers is a safe, less-invasive treatment, especially for elderly, high-risk patients.

Key Words: Penetrating thoracic aortic ulcer • endovascular repair • stent-graft, aortic cuffs

Vascular and Endovascular Surgery, Vol. 41, No. 1, 83-86 (2007)
DOI: 10.1177/1084713806296075


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