Iatrogenic intercostal artery aneurysm following Fogarty balloon occlusion in open thoracoabdominal aneurysm repair

Ann Vasc Surg. 2014 Nov;28(8):1937.e1-3. doi: 10.1016/j.avsg.2014.07.018. Epub 2014 Aug 7.

Abstract

Open thoracoadbominal aortic aneurysm (TAAA) treatment presents a high complication rate such as spinal cord ischemia. Surgical technique includes the temporary occlusion of intercostal arteries with a balloon. In rare cases, the arterial injury can lead to development of an intercostal artery aneurysms (ICAA), probably because of a thin artery wall and a too high insufflation pressure. The aim of this study was to report the case of a 78-year-old woman, who underwent an open type-II TAAA repair and developed an asymptomatic 11-mm ICAA. According to the diameter, we successfully treated the patient with platinum coils, obtaining the complete aneurysm exclusion and an uneventful recovery.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aneurysm, False / diagnosis
  • Aneurysm, False / etiology*
  • Aneurysm, False / therapy
  • Aortic Aneurysm, Thoracic / diagnosis
  • Aortic Aneurysm, Thoracic / surgery*
  • Balloon Occlusion / adverse effects*
  • Balloon Occlusion / instrumentation
  • Blood Vessel Prosthesis Implantation*
  • Embolization, Therapeutic
  • Equipment Design
  • Female
  • Humans
  • Iatrogenic Disease*
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Vascular Access Devices
  • Vascular System Injuries / diagnosis
  • Vascular System Injuries / etiology*
  • Vascular System Injuries / therapy