Delayed Stent Deformity and Fracture of Djumbodis Dissection System

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Delayed Stent Deformity and Fracture of Djumbodis Dissection System Randolph H.L. Wong, FRCS, Simon C.H. Yu, FRCR, Rainbow W.H. Lau, MRCS, Calvin S.H. Ng, FRCS, Joyce W.Y. Hui, FRCR, Innes Y.P. Wan, FRCS, Song Wan, FRCS, Anthony M.H. Ho, FRCPC, Malcolm J. Underwood, FRCS  The Annals of Thoracic Surgery  Volume 97, Issue 1, Pages e17-e20 (January 2014) DOI: 10.1016/j.athoracsur.2013.07.127 Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Radiogram of the chest at 3 months showing mild transverse displacement of the Djumbodis stent. (B) Radiogram of the chest at 1 year showing moderate transverse displacement of the Djumbodis stent. (C) Radiogram of the chest at 2 years showing significant transverse displacement of the Djumbodis stent. (D) Axial view of noncontrast computed tomography of thorax at 2 years showing transverse displacement and fracture of the Djumbodis stent. The Annals of Thoracic Surgery 2014 97, e17-e20DOI: (10.1016/j.athoracsur.2013.07.127) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) Radiogram of the chest at 3 years showing fracture of the articulating element. White arrow points to a protruding strut. (B) Three-dimensional images of the Djumbodis stent acquired from noncontrast CT of the thorax. White arrow points to a protruding strut. The Annals of Thoracic Surgery 2014 97, e17-e20DOI: (10.1016/j.athoracsur.2013.07.127) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 (A) Radiogram of the chest at 1 month showing satisfactory alignment of the Djumbodis stent. (B) Radiogram of the chest at 2 years showing fracture and displacement of the Djumbodis stent. The Annals of Thoracic Surgery 2014 97, e17-e20DOI: (10.1016/j.athoracsur.2013.07.127) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Three-dimensional images of the Djumbodis stent acquired from noncontrast CT of the thorax taken 3 years after implantation, showing multiple sites of fracture and displacement: (A) right anterior oblique, (B) cranial-caudal, (C) anteroposterior, (D) posteroanterior. The Annals of Thoracic Surgery 2014 97, e17-e20DOI: (10.1016/j.athoracsur.2013.07.127) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions