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Early complication after hybrid thoracic aortic aneurysm repair

Federal University of São Paulo, Paulista School of Medicine, São Paulo, Brazil

*Corresponding author. Napoleão de Barros 715, 3° Andar, Cardiovascular Surgery Department, Vila Clementino, São Paulo, S.P., 04038-000, Brazil. Tel.: +(55)(11) 5576-4055; fax: +(55)(11) 5571-2719.

E-mail address: drgaia{at}uol.com.br (D.F. Gaia).

This brief report describes an unusual hybrid approach complication of aortic arch disease. An acute stent kinking in the first post-operative day promoted ventricular fibrillation and death. Adequate oversizing was achieved and intraoperative angiogram showed no proximal or distal leaks. Unfavorable outcomes are highly under-reported and describing complications are a key instrument to improve this technique.

Key Words: Endovascular; Aortic aneurysm; Stent-graft; Hybrid