Ascending aortic rupture after zone 2 endovascular repair: a multiparametric computational analysis | Zendy

Theodorus M. J. van Bakel | Zendy; Nicholas S. Burris | Zendy; Himanshu J. Patel | Zendy; C. Alberto Figueroa | Zendy

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Ascending aortic rupture after zone 2 endovascular repair: a multiparametric computational analysis

Author(s) -

Theodorus M. J. van Bakel,

Nicholas S. Burris,

Himanshu J. Patel,

C. Alberto Figueroa

Publication year - 2018

Publication title -

european journal of cardio-thoracic surgery

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.303

H-Index - 133

eISSN - 1873-734X

pISSN - 1010-7940

DOI - 10.1093/ejcts/ezy458

Subject(s) - ascending aorta , aorta , medicine , hemodynamics , aortic repair , radiology , surgery , cardiology

A 74-year-old woman expired from ascending aortic rupture 3 months following branched zone 2 endovascular aortic repair. Multiparametric image-based computational evaluation of this case suggested that the stiffness mismatch between the endograft and the native aorta increased haemodynamic loads and likely led to the rupture of the ascending aorta. This under-recognized phenomenon should be considered in preoperative planning and presents suggestions for endograft development.

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