Hybrid Therapy for Mycotic Aortic Aneurysm with Stent-Graft and Video-Assisted Thoracoscopic Debridement

• Published in: Annals of Vascular Diseases Vol. 12; no. 1; pp. 69 - 73
• Main Authors: Hirano, Koji, Tokui, Toshiya, Nakamura, Bun, Inoue, Ryosai, Inagaki, Masahiro, Toyoshima, Hirokazu, Chino, Shuji, Watanabe, Fumiaki, Kato, Noriyuki, Maze, Yasumi
• Format: Journal Article
• Language: English
• Published: Japan The Editorial Committee of Annals of Vascular Diseases 25.03.2019; Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology
• Subjects: Case Report; mycotic aortic aneurysm; stent-graft; video-assisted thoracoscopic debridement; video-assisted thoracoscopic debridement; mycotic aortic aneurysm; stent-graft
• ISSN: 1881-641X; 1881-6428
• DOI: 10.3400/avd.cr.18-00119

Treating mycotic aortic aneurysm with thoracic endovascular aortic repair (TEVAR) remains controversial because of sustained infection post-treatment. In this study, an 83-year-old man, who had a ruptured mycotic thoracic aortic aneurysm, underwent salvage TEVAR. However, because an abscess appeared in the aneurysm on follow-up computed tomography, video-assisted thoracoscopic debridement (VATD) followed by continuous drainage was performed next and was successful in eliminating the infection from the abscess. Although frozen elephant trunk and proximal aortic arch repair were further required owing to another pseudoaneurysm, there was no sign of recurrent infection thereafter. The combination of TEVAR and VATD can be effective in treatment of mycotic aortic diseases in selected patients.