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Successful Management of Esophageal Necrosis After Endovascular Repair of Chronic Type B Aortic Dissection  Alexander Tobisch, MD, Harald Ittrich, MD,

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Presentation on theme: "Successful Management of Esophageal Necrosis After Endovascular Repair of Chronic Type B Aortic Dissection  Alexander Tobisch, MD, Harald Ittrich, MD,"— Presentation transcript:

1 Successful Management of Esophageal Necrosis After Endovascular Repair of Chronic Type B Aortic Dissection  Alexander Tobisch, MD, Harald Ittrich, MD, Jakob R. Izbicki, MD, PhD, Alexandra M. Koenig, MD  The Annals of Thoracic Surgery  Volume 98, Issue 6, Pages (December 2014) DOI: /j.athoracsur Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 (A) Native computed tomography scan of the chest demonstrating aneurysm of the false lumen and a mediastinal hematoma (arrows) with associated compression of the esophagus and trachea 1 year after thoracic endovascular aortic repair for a chronic type B aortic dissection. (B) Contrast-enhanced computed tomography scan demonstrating a persistent false lumen perfusion (*). (A = aorta; PE = pleural effusion; T = trachea.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Computed tomography scan after distal thoracic endovascular aortic repair extension demonstrating reentry occlusion (*) with no evidence of filling of the false lumen (**) and progressive esophagotracheal compression from the mediastinal hematoma (white arrows). (A) Native computed tomography scan of the chest, axial plane. (B) Contrast-enhanced computed tomography scan of the chest, axial plane. (C) Contrast enhanced computed tomography scan of the chest, coronal plane. (A = aorta; Aa = abdominal aorta; K = kidney; L = liver; PE = pleural effusion; S = spleen; T = trachea.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Computed tomography scan on day 15 after thoracic endovascular aortic repair extension demonstrating air bubbles surrounding the aortic stent graft (arrowheads), indicating an infection of the aortic aneurysm due to esophageal necrosis. Bilateral increasing pleural effusions (PEs) led to lung compression and atelectases. (A) Contrast-enhanced computed tomography scan of the chest, axial plane. (B) Contrast-enhanced computed tomography scan of the chest, coronal plane. (A = aorta; Aa = abdominal aorta; E = esophagus; K = kidney; L = liver; S = spleen; T = trachea.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

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