Management of type 2 endoleaks following endovascular thoracic aortic dissection repair associated with patent ductus arteriosus: A report of two cases in patients with Marfan syndrome
{"title":"Management of type 2 endoleaks following endovascular thoracic aortic dissection repair associated with patent ductus arteriosus: A report of two cases in patients with Marfan syndrome","authors":"Joshua Burk MD, MBA , Clément Batteux MD , Reda Jerrari MD , Dominque Fabre MD, PhD , Sebastien Hascoet MD, PhD , Stéphan Haulon MD, PhD","doi":"10.1016/j.jvscit.2025.102114","DOIUrl":null,"url":null,"abstract":"<div><div>Type 2 endoleaks remain a significant clinical concern after thoracic endovascular aneurysm repair, potentially leading to aneurysm sac enlargement or rupture. A rare but clinically significant source of these endoleaks is patent ductus arteriosus (PDA). This article presents two unique cases of aortic dissection with an associated PDA. It reviews the limited available literature to comment on the background, pathophysiology, presentation, diagnostic evaluation, and management strategies of PDA-associated type 2 endoleaks after thoracic endovascular aneurysm repair.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102114"},"PeriodicalIF":0.7000,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Vascular Surgery Cases Innovations and Techniques","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S246842872500396X","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/12/24 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
Abstract
Type 2 endoleaks remain a significant clinical concern after thoracic endovascular aneurysm repair, potentially leading to aneurysm sac enlargement or rupture. A rare but clinically significant source of these endoleaks is patent ductus arteriosus (PDA). This article presents two unique cases of aortic dissection with an associated PDA. It reviews the limited available literature to comment on the background, pathophysiology, presentation, diagnostic evaluation, and management strategies of PDA-associated type 2 endoleaks after thoracic endovascular aneurysm repair.
期刊介绍:
Journal of Vascular Surgery Cases and Innovative Techniques is a surgical journal dedicated to publishing peer review high quality case reports, vascular images and innovative techniques related to all aspects of arterial, venous, and lymphatic diseases and disorders, including vascular trauma, malformations, wound care and the placement and maintenance of arterio-venous dialysis accesses with an emphasis on the practicing clinician. The Journal seeks to provide novel and timely information to vascular surgeons, interventionalists, phlebologists, wound care specialists, and allied health professionals involved with the management of patients with the entire spectrum of vascular disorders.