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

Rijn, K. van; Schepers, A.; Meer, R.W. van der; Rijswijk, C.S.P. van; Schaik, J. van; Vorst, J.R. van der (2023)

Article / Letter to editor

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. (J Vasc Surg Cases Innov Tech 2023;9:101297.)

• In-stent thrombosis
• Thoracic endovascular aortic repair

• All authors: Rijn, K. van; Schepers, A.; Meer, R.W. van der; Rijswijk, C.S.P. van; Schaik, J. van; Vorst, J.R. van der
• Date: 2023-09-21
• Journal: Journal of Vascular Surgery Cases and Innovative Techniques
• Volume: 9
• Issue: 4
• DOI: doi:10.1016/j.jvscit.2023.101297
• Link: https://www.sciencedirect.com/science/article/pii/S246842872300206X?via%...