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  • Title: Emergency stent-graft placement for impending rupture of the descending thoracic aorta.
    Author: Nesser HJ, Eggebrecht H, Baumgart D, Ebner C, Gschwendtner M, Barkhausen J, Erbel R, Nienaber CA.
    Journal: J Endovasc Ther; 2002 Jun; 9 Suppl 2():II72-8. PubMed ID: 12166845.
    Abstract:
    PURPOSE: To present initial experience with emergent stent-graft placement for impending rupture of the descending thoracic aorta. CASE REPORTS: Intramural hematoma (IMH) of the descending thoracic aorta was diagnosed by transesophageal echocardiography and computed tomography in 3 patients with acute onset of severe thoracic pain. Because of signs of impending rupture, e.g., pleural effusion, sustained pain, or transadventitial bleeding, the patients underwent emergency stent-graft placement, which was successful in all cases. No procedure-related complications were observed. Follow-up to 18 months has revealed no evidence of endoleak, and all patients remain free of symptoms. CONCLUSIONS: Emergency stent-graft placement may be a promising alternative to conventional surgery in patients with impending aortic rupture due to IMH.
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