Jaw claudication and branch perfusion reduction as rare complications of fenestrated thoracic endovascular aortic repair
oleh: Ryota Nakano, MD, Shinichi Iwakoshi, MD, PhD, Sho Shimizu, MD, Takahiro Nakai, MD, Shigeo Ichihashi, MD, PhD, Toshihiro Tanaka, MD, PhD
| Format: | Article |
|---|---|
| Diterbitkan: | Elsevier 2024-06-01 |
Deskripsi
We report a rare case of jaw claudication following fenestrated thoracic endovascular aortic repair for a saccular aortic arch aneurysm. The brachiocephalic artery (BCA) was preserved with fenestration and intentionally half covered. Although discharged without any complications 2 weeks after the procedure, the patient subsequently experienced right mandibular fatigue at mealtime and hypotension in the right upper extremity. Angiography revealed a flap-like structure in the BCA orifice, with a 100-mm Hg pressure gradient between the aorta and BCA. Intravascular ultrasound revealed a stenosed BCA with a cord-like structure, which was considered a graft protrusion. Bare metal stenting was performed, which promptly resolved the symptoms.