Late complications and shape changes of the endografts after gigantic thoracic aortic aneurysm repair over a 7-year follow-up

This report details a 7 years follow up observations in a 71-year-old patient treated with custom made endograft for gigantic thoracic aortic aneurysm (TAA). Progressive changes of the thoracic aorta and aneurysm after endograft placement led to two late complications including proximal stent graft prolapse into the aneurysm and extreme kinking of the endograft and aorta 28 and 51 months after treatment, respectively. Both complications were successfully treated with new endografts placement. Per-cutaneous endovascular repair is a promising, minimally invasive alternative to exclude TAA. This technique allows long-term treatment of patients who are unsuitable for conventional surgical procedures.