Tracheo-Bronchial Obstruction and Esophageal Perforation after TEVAR for Thoracic Aortic Rupture

• DOI: 10.3400/avd.cr.14-00080
• Publication Date: 2014-12-24T22:02:31Z
• Authors: Tatsuichiro Seto; Daisuke Fukui; Haruki Tanaka; Kazunori Komatsu; Yoshinori Ohtsu; Takamitsu Terasaki; Yuko Wada; Tamaki Takano; Shoichiro Koike; Jun Amano
• Keywords: 03 medical and health sciences; 0302 clinical medicine; 3. Good health

A 67-year-old man was referred to our hospital for an ascending aortic aneurysm, thoracoabdominal aortic aneurysm and aortic regurgitation. Graft repair of the thoracic aortic arch and aortic valve replacement was given priority and completed, however he developed descending aortic rupture before the second scheduled surgery, and endovascular stent grafting was performed. He subsequently developed tracheobronchial obstruction and esophageal perforation. The patient underwent urgent esophagectomy and enterostomy with continuity later reestablished. However, he died of sepsis 5 months after surgery. Despite the less invasive nature of endovascular treatment, esophageal perforation can nevertheless occur and postoperative vigilance is well warranted.