[MO-7] Presentation Awards
A case of self-expanding stent was implanted for brachiocephalic vein obstruction due to aortic surgery.
Background: Brachiocephalic vein obstruction is one of the complications after aortic surgery. It is cause of venous hypertension with hemodialysis patients. We have report a case of brachiocephalic venous stenosis.
Case report: A 68-years-old male had end stage renal failure with hemodialysis. He had surgery of hemiarch replacement for acute ascending aortic dissection. Pseudoaneurysm occurred in proximal anastomosis after this surgery. He had second operation of direct pseudo aneurysmal closure and coronary arterial bypass (aorta – saphenous vein graft – right coronary artery #3). After second operation, his left upper limb was swelling because of venous hypertension. Brachiocephalic vein obstruction was observed in CT and angiography. Although we performed balloon angioplasty, the brachiocephalic vein was restenosis immediately. That is why, we implanted self-expanding nitinol stent (SMART 10×40mm). After endovascular treatment, venous hypertension was improved and resolution of left upper limb swelling. After 6 months, he didn’t have a trouble of hemodialysis.
Conclusion: Self-expanding stent was useful for revascularization to brachiocephalic vein obstruction after aortic surgery.
Case report: A 68-years-old male had end stage renal failure with hemodialysis. He had surgery of hemiarch replacement for acute ascending aortic dissection. Pseudoaneurysm occurred in proximal anastomosis after this surgery. He had second operation of direct pseudo aneurysmal closure and coronary arterial bypass (aorta – saphenous vein graft – right coronary artery #3). After second operation, his left upper limb was swelling because of venous hypertension. Brachiocephalic vein obstruction was observed in CT and angiography. Although we performed balloon angioplasty, the brachiocephalic vein was restenosis immediately. That is why, we implanted self-expanding nitinol stent (SMART 10×40mm). After endovascular treatment, venous hypertension was improved and resolution of left upper limb swelling. After 6 months, he didn’t have a trouble of hemodialysis.
Conclusion: Self-expanding stent was useful for revascularization to brachiocephalic vein obstruction after aortic surgery.