Thoracic Endovascular Aortic Repair in “Shaggy Thoracic Aortic Aneurysms”

A single-center, retrospective, cohort study was performed from January 2005 to May 2019. Of 391 patients evaluated for thoracic endovascular aortic repair (TEVAR), 9 (2%) had shaggy aneurysms, defined as an ulcerated atheroma or thrombus thickness ≥5 mm protruding into the lumen and/or occupying more than two thirds of circumference on computed tomography angiography. Two nine presented with blue toe syndrome. seven who undergone TEVAR, embolization occurred in one patient (transient ischemic attack and acute kidney injury) possibly another developed spinal cord ischemia. The risk atheroembolism aneurysm is a threatening complication but TEVAR proved effective.