Journal of Vascular Surgery Cases and Innovative Techniques (Dec 2023)

Therapeutic management of in-stent thrombosis after thoracic endovascular aortic repair for blunt thoracic aortic injury in a coronavirus disease 2019 patient

  • Karen van Rijn, BSc,
  • Abbey Schepers, MD, PhD,
  • Rutger W. van der Meer, MD, PhD,
  • Carla S.P. van Rijswijk, MD, PhD,
  • Jan van Schaik, MD,
  • Joost R. van der Vorst, MD, PhD

Journal volume & issue
Vol. 9, no. 4
p. 101297

Abstract

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A 27-year-old man underwent thoracic endovascular aortic repair for blunt thoracic aortic injury. Fourteen months later, he presented with intermittent paraplegia, congestive heart failure, and a decline of kidney function as a result of high-grade aortic stenosis caused by in-stent thrombosis. He had a concurrent infection with coronavirus disease 2019. The patient was successfully treated using axillofemoral bypass, followed by stent relining 2 weeks later. The possible risk factors and the optimal therapeutic approach for in-stent thrombosis remain unknown, because only a limited number of cases describing this rare complication have been reported.

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