Work

Surgical explanation of an infected aortic arch endograft: a two-stage approach

Year: 2025

Type: article

Abstract: Thoracic Endovascular Aortic Repair has become the preferred treatment for various aortic pathologies due to its minimally invasive approach. While advancements, including branched devices, have expanded the scope of endovascular repair to the aortic arch and ascending aorta, they also present challenges, particularly in managing complications like infection. We report a rare case of a branched thoracic endograft explantation. A 67-year-old male was evaluated for hemoptysis caused by an infected branched endograft with an aorta-oesophageal fistula. The patient underwent a staged approach, including preoperative left common carotid artery to left subclavian artery bypass and explantation of the endograft under circulatory arrest. Reconstruction was achieved using a self-made bovine xenopericardial tube graft. Postoperative recovery was uneventful, and the patient was discharged in good condition 23 days post-surgery.

Source: Interdisciplinary CardioVascular and Thoracic Surgery

DOI: 10.1093/icvts/ivaf123

Authors: Santi Trimarchi, Viviana Grassi, Nesar A Hasami, Guido Gelpi

Institutions: University of Milan, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Radboud University Nijmegen, Radboud University Medical Center, University Medical Center Utrecht

Language: English

Topic: Infectious Aortic and Vascular Conditions

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,258