Open Access
CC BY 4.0 · Aorta (Stamford) 2021; 09(03): 113-115
DOI: 10.1055/s-0041-1730007
Case Report

Complex Regional Pain Syndrome with Aortic Distress after Thoracic Endovascular Aortic Repair and False Lumen Exclusion with “Candy Plug” Technique

1   Department of Vascular Surgery, Grande Ospedale Metropolitano Niguarda, Milan, Italy
,
2   Department of Vascular Surgery, Vita-Salute San Raffaele University, Milan, Italy
,
2   Department of Vascular Surgery, Vita-Salute San Raffaele University, Milan, Italy
,
Santi Trimarchi
3   Department of Vascular Surgery, Fondazione Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
4   Department of Clinical and Community Sciences, University of Milan, Milan, Italy
,
1   Department of Vascular Surgery, Grande Ospedale Metropolitano Niguarda, Milan, Italy
,
Renato Casana
5   Laboratory of Vascular Research, Istituto Auxologico Italiano, Milan, Italy
6   Department of Surgery, Istituto Auxologico Italiano, Milan, Italy
,
Roberto Chiesa
2   Department of Vascular Surgery, Vita-Salute San Raffaele University, Milan, Italy
› Author Affiliations

Funding None.
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Abstract

A 41-year-old male presented for pain treated with oxycodone. A zone-2 thoracic endovascular aortic repair with distal PETTICOAT (provisional extension to induce complete attachment) for complicated Type-IIIB aortic dissection was performed 18 months before. Repeated hospitalizations did not show any issues to justify the recurrent pain. The aortic nature of the pain was suspected considering the plug as a pain trigger. Through a left thoracoabdominal incision in the eighth intercostal space, the candy plug was removed. Pain diminished after thoracoabdominal surgery steadily.



Publication History

Received: 03 May 2020

Accepted: 25 February 2021

Article published online:
13 October 2021

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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