Work

Successful thoracoscopic-assisted explant of a notably migrated aortic stent graft protruding into the posterior mediastinum after endovascular re-exclusion

Year: 2026

Type: article

Abstract: We report a case of an 88-year-old patient in whom an aortic stent graft was placed in the distal aortic arch, which showed structural disintegration with excessive distal migration 16 years after implantation. Eventually, the graft penetrated the descending aortic wall and protruded into the posterior mediastinum. The patient was treated successfully without open conversion using a staged minimally invasive approach, which included repeat stent graft placement in the aortic arch and removal of the migrated stent graft via a thoracoscopy-assisted right minithoracostomy.

Source: Journal of Vascular Surgery Cases and Innovative Techniques

DOI: 10.1016/j.jvscit.2026.102244