As a previously unrecognized late graft-related complication, we report a case of spontaneous perigraft hemorrhage, which was evidenced by contrast extravasation on computed tomographic scan seven years after thoracic aortic replacement with a knitted Dacron graft. There was no anastomotic problem or graft tear, and the hematoma seemed to result from transgraft hemorrhage. Inadequate graft heal...

Endovascular procedures have been proposed as minimally invasive alternative treatments, allowing safe and effective aortic aneurysm repair. Despite the potential benefits, endovascular stent grafting may elicit an unexpected systemic inflammatory response, called postimplantation syndrome (PIS). The main features of PIS include fever, elevated C-reactive protein levels, leukocytosis and/or coa...

We report a rare complication occurring in a 72 year old patient previously undergone surgical aortic root replacement with Cabrol technique for an aneurysm of the ascending aorta and aortic valve incompetence. Sixteen years later the patient presented progressive congestive heart failure and a left ventricle-to-right atrium shunt due to the distal detachment of the valved tubular graft at leve...

Retrospective, single center review between 2015 and 2019. Perigraft aortic sac embolization using thrombin gelfoam liquid was performed at the conclusion of endovascular (EVAR) in 44 patients with patent inferior mesenteric artery or lumbar arteries on angiogram. After an average follow-up approximately 1 year, none aneurysm sacs increased diameter about two-thirds demonstrated regression. Fre...