Ruptured infective native thoracic aortic aneurysm treated by endovascular repair as a bridge therapy to open repair

M Corniquet; M Khalifé; A G Lellouch; A Bel; F Bellenfant; P Julia; J-M Alsac; S El Batti; I Ben Abdallah

doi:10.1016/j.jdmv.2023.02.001

Ruptured infective native thoracic aortic aneurysm treated by endovascular repair as a bridge therapy to open repair

J Med Vasc. 2023 Feb;48(1):36-40. doi: 10.1016/j.jdmv.2023.02.001. Epub 2023 Mar 9.

Authors

M Corniquet¹, M Khalifé², A G Lellouch³, A Bel⁴, F Bellenfant⁵, P Julia⁶, J-M Alsac⁷, S El Batti⁸, I Ben Abdallah⁹

Affiliations

¹ Department of cardiovascular surgery, Hôpital Européen Georges-Pompidou (HEGP), Université Paris Cité, Assistance publique-Hôpitaux de Paris (AP-HP), 20, rue Leblanc, 75015 Paris, France; Inserm, UMR S 1140, Fondation Alain Carpentier, Laboratoire de Recherches Biochirugicales, 75015 Paris, France. Electronic address: [email protected].
² Department of orthopedic surgery, HEGP, Université Paris Cité, AP-HP, 20, rue Leblanc, 75015 Paris, France. Electronic address: [email protected].
³ Department of plastic surgery, HEGP, Université Paris Cité, AP-HP, 20, rue Leblanc, 75015 Paris, France. Electronic address: [email protected].
⁴ Department of cardiovascular surgery, Hôpital Européen Georges-Pompidou (HEGP), Université Paris Cité, Assistance publique-Hôpitaux de Paris (AP-HP), 20, rue Leblanc, 75015 Paris, France; Inserm, UMR S 1140, Fondation Alain Carpentier, Laboratoire de Recherches Biochirugicales, 75015 Paris, France. Electronic address: [email protected].
⁵ Department of anesthesiology and critical care, HEGP, Université Paris Cité, AP-HP, 20, rue Leblanc, 75015 Paris, France. Electronic address: [email protected].
⁶ Department of cardiovascular surgery, Hôpital Européen Georges-Pompidou (HEGP), Université Paris Cité, Assistance publique-Hôpitaux de Paris (AP-HP), 20, rue Leblanc, 75015 Paris, France. Electronic address: [email protected].
⁷ Department of cardiovascular surgery, Hôpital Européen Georges-Pompidou (HEGP), Université Paris Cité, Assistance publique-Hôpitaux de Paris (AP-HP), 20, rue Leblanc, 75015 Paris, France; Inserm, UMR S 1140, Fondation Alain Carpentier, Laboratoire de Recherches Biochirugicales, 75015 Paris, France. Electronic address: [email protected].
⁸ Department of cardiovascular surgery, Hôpital Européen Georges-Pompidou (HEGP), Université Paris Cité, Assistance publique-Hôpitaux de Paris (AP-HP), 20, rue Leblanc, 75015 Paris, France; Inserm, UMR S 1140, Fondation Alain Carpentier, Laboratoire de Recherches Biochirugicales, 75015 Paris, France. Electronic address: [email protected].
⁹ Department of cardiovascular surgery, Hôpital Européen Georges-Pompidou (HEGP), Université Paris Cité, Assistance publique-Hôpitaux de Paris (AP-HP), 20, rue Leblanc, 75015 Paris, France; Inserm, UMR S 1140, Fondation Alain Carpentier, Laboratoire de Recherches Biochirugicales, 75015 Paris, France. Electronic address: [email protected].

PMID: 37120270
DOI: 10.1016/j.jdmv.2023.02.001

Abstract

We report the case of a 70-year-old woman who presented with a ruptured infective native thoracic aortic aneurysm (INTAA), associated with spondylodiscitis and posterior mediastinitis. She underwent a staged hybrid repair: urgent thoracic endovascular aortic repair was first performed as a bridge therapy in the context of septic shock. Allograft repair using cardiopulmonary bypass was performed five days later. Given the complexity of INTAA, multidisciplinary teamwork was paramount to determine the most appropriate treatment strategy, including procedure planning with multiple operators as well as perioperative care. Therapeutic alternatives are discussed.

Keywords: Aortitis; Endovascular procedure; Infection; Infective native thoracic aortic aneurysm.

Publication types

Case Reports
Letter

MeSH terms

Aged
Aortic Aneurysm, Thoracic* / diagnostic imaging
Aortic Aneurysm, Thoracic* / surgery
Aortic Rupture* / diagnostic imaging
Aortic Rupture* / surgery
Bridge Therapy
Endovascular Aneurysm Repair
Endovascular Procedures*
Female
Humans