Endovascular treatment of perigraft seroma in patient with prior hybrid thoracoabdominal repair using visceral bypass to relieve duodenal obstruction

Endovascular treatment of perigraft seroma in patient with prior hybrid thoracoabdominal repair using visceral bypass to relieve duodenal obstruction

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Perigraft seroma Course a pied - Accessoires - Gants (PS) is a postoperative complication occurring after prosthesis placement.A 48-year-old man who had previously undergone visceral debranching bypass surgery as a part of hybrid thoracoabdominal aortic repair was referred to our hospital because of vomiting.Contrast-enhanced computed tomography revealed a duodenal obstruction resulting from compression by a PS located around the bypass graft and extending to the right renal artery.Endovascular relining Rear Stabilizer of the visceral bypass graft using a covered stent was performed, resulting in immediate resolution of the duodenal obstruction and shrinkage of the PS.

Endovascular repair can be considered as an effective option for treating a PS.