Work

Mycobacterium haemophilum infection of a thoracic endoprosthesis complicated by aortoesophageal fistula: A case report

Year: 2026

Type: article

Abstract: TEVAR infection complicated by aortoesophageal fistula is rare and carries high morbidity. We report the case of a 71-year-old man with TEVAR infection caused by Mycobacterium haemophilum who underwent initial bridging TEVAR. Ten months later, he developed an aortoesophageal fistula and a suspected left aortobronchial fistula. Multidisciplinary surgical management included explantation of the endoprosthesis, rifampin-soaked Dacron reconstruction, resection of infected tissue including esophagectomy and left pulmonary wedge resection, and omental wrapping with an intercostal muscle flap. Postoperatively, recovery was favorable, and the patient’s blood cultures remained negative, supporting a curative approach in selected patients.

Source: Annals of Vascular Surgery - Brief Reports and Innovations

DOI: 10.1016/j.avsurg.2026.100484

Authors: Samie Cloutier, Marina Ibrahim, Cateline Sirois, Anny Godin, William Fortin, Guillaume Febrer

Institutions: Université de Montréal, Hôpital du Sacré-Cœur de Montréal

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: $1,490