Total arch and descending aorta replacement via left thoracotomy for infected post-thoracic endovascular aortic repair type B aortic dissection

• Published in: General thoracic and cardiovascular surgery Vol. 69; no. 2; pp. 346 - 349
• Main Authors: Miyagawa, Atsushi, Okamura, Homare, Kitada, Yuichiro, Arakawa, Mamoru, Adachi, Hideo
• Format: Journal Article
• Language: English
• Published: Singapore Springer Singapore 01.02.2021; Springer Nature B.V
• Subjects: Abscesses; Adult; Aneurysm, Dissecting - diagnostic imaging; Aneurysm, Dissecting - surgery; Aneurysms; Aorta, Thoracic - diagnostic imaging; Aorta, Thoracic - surgery; Aortic Aneurysm, Thoracic - diagnostic imaging; Aortic Aneurysm, Thoracic - surgery; Aortic dissection; Back pain; Blood Vessel Prosthesis Implantation - adverse effects; Cardiac Surgery; Cardiology; Carotid arteries; Case Report; Coronary vessels; Debridement; Diaphragm (Anatomy); Humans; Male; Medicine; Medicine & Public Health; Mortality; Nosocomial infections; Ostomy; Prostheses; Replantation; Surgery; Surgical Oncology; Sutures; Thoracic Surgery; Thoracotomy; Tomography; Treatment Outcome; Veins & arteries; Japan; Infection; Left thoracotomy; Aortic dissection
• ISSN: 1863-6705; 1863-6713
• DOI: 10.1007/s11748-020-01446-8

A 38-year-old man underwent thoracic endovascular aortic repair for impending rupture of acute type B aortic dissection. Computed tomography revealed abscess formation around the proximal descending aorta 4 weeks after endovascular treatment. He underwent one-stage total arch and descending aorta replacement and omental wrapping via left thoracotomy. At the 6-month follow-up, his postoperative course was uneventful.