PMID- 28344762 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201001 IS - 2042-8812 (Print) IS - 2042-8812 (Electronic) IS - 2042-8812 (Linking) VI - 2016 IP - 10 DP - 2016 Oct TI - Protracted refractory pain post-TEVAR: post-implantation syndrome? PG - rjw173 LID - 10.1093/jscr/rjw173 [doi] LID - rjw173 AB - Aortic dissection is a life-threatening condition and has one of the highest mortality rates of cardiovascular diseases. It remains a devastating disease; with multiple unanswered questions concerning treatment modalities. The role of thoracic endovascular aortic repair (TEVAR) in these patients; especially those with uncomplicated acute aortic Type B dissections (AAD-B) is especially controversial although it has been shown to have better long-term outcomes compared to medical therapy alone. For those who have TEVAR, up to 60% may develop an acute, transient systemic inflammatory response syndrome that remains vaguely defined. The role of local inflammation in this post-implantation syndrome (PIS) has not been highlighted. We present a case of a 57-year-old male patient with an uncomplicated AAD-B who developed an 'atypical' PIS post-TEVAR with severe refractory abdominal pains; leukocytosis and raised C-reactive protein. The role of local inflammation in PIS is highlighted. FAU - Waweru, Peter AU - Waweru P AD - Department of Surgery , MP Shah Hospital , Nairobi, Nairobi-Kenya. FAU - Gill, Hardeep AU - Gill H AD - Department of Vascular Surgery , MP Shah Hospital, PO Box 14497-00800, Nairobi , Nairobi-Kenya. FAU - Abeid, Chris AU - Abeid C AD - Department of Internal Medicine/Nephrology , MP Shah Hospital, PO Box 14497-00800, Nairobi , Nairobi-Kenya. LA - eng PT - Case Reports DEP - 20161021 PL - England TA - J Surg Case Rep JT - Journal of surgical case reports JID - 101560169 PMC - PMC5155580 EDAT- 2017/03/28 06:00 MHDA- 2017/03/28 06:01 PMCR- 2016/10/21 CRDT- 2017/03/28 06:00 PHST- 2016/09/06 00:00 [received] PHST- 2016/10/04 00:00 [accepted] PHST- 2017/03/28 06:00 [entrez] PHST- 2017/03/28 06:00 [pubmed] PHST- 2017/03/28 06:01 [medline] PHST- 2016/10/21 00:00 [pmc-release] AID - rjw173 [pii] AID - 10.1093/jscr/rjw173 [doi] PST - epublish SO - J Surg Case Rep. 2016 Oct 21;2016(10):rjw173. doi: 10.1093/jscr/rjw173. eCollection 2016 Oct.