The efficacy of immediate bridging thoracic endovascular aortic repair for ruptured infected thoracic aortic aneurysms

AbstractHerein we describe four cases of ruptured infected thoracic aortic aneurysm. All patients underwent emergent thoracic endovascular aortic repair to stabilize hemodynamics. After controlling infection, stent graft removal and in situ reconstruction with radical debridement were performed in a...

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Published inJournal of vascular surgery cases and innovative techniques Vol. 5; no. 2; pp. 152 - 155
Main Authors Ito, Hideki, MD, PhD, Mutsuga, Masato, MD, PhD, Oshima, Hideki, MD, PhD, Usui, Akihiko, MD, PhD
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.06.2019
Elsevier
Subjects
Aortic aneurysm
Aortic rupture
Endovascular procedure
Infection control
Surgery
Vascular infection
Endovascular procedure
Aortic aneurysm
Aortic rupture
Infection control
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Summary:AbstractHerein we describe four cases of ruptured infected thoracic aortic aneurysm. All patients underwent emergent thoracic endovascular aortic repair to stabilize hemodynamics. After controlling infection, stent graft removal and in situ reconstruction with radical debridement were performed in all but one case. All patients survived during the median 31-month follow-up period, and only one exhibited infection reactivation, which occurred 294 days after initial endoaortic repair. That particular patient underwent open repair. The current cases suggest that emergent bridging endovascular repair for ruptured infected thoracic aortic aneurysm is feasible and, after controlling infection, open repair should be performed as soon as possible.
ISSN:2468-4287
2468-4287
DOI:10.1016/j.jvscit.2018.10.005