Bridge use of endovascular repair and delayed open operation for infected aneurysm of aortic arch

Kentaro Tamura; Hidenori Yoshitaka; Toshinori Totsugawa; Yoshimasa Tsushima; Genta Chikazawa; Tsukasa Ohno; Taichi Sakaguchi

doi:10.1016/j.athoracsur.2013.01.095

Bridge use of endovascular repair and delayed open operation for infected aneurysm of aortic arch

Ann Thorac Surg. 2013 Oct;96(4):1471-1473. doi: 10.1016/j.athoracsur.2013.01.095.

Authors

Kentaro Tamura¹, Hidenori Yoshitaka², Toshinori Totsugawa², Yoshimasa Tsushima², Genta Chikazawa², Tsukasa Ohno², Taichi Sakaguchi²

Affiliations

¹ Division of Cardiac Surgery, The Sakakibara Heart Institute of Okayama, Okayama, Japan. Electronic address: [email protected].
² Division of Cardiac Surgery, The Sakakibara Heart Institute of Okayama, Okayama, Japan.

PMID: 24088465
DOI: 10.1016/j.athoracsur.2013.01.095

Abstract

We present the first clinical report of the successful treatment of an infected thoracic aortic arch aneurysm with the use of endovascular repair as a bridge to second-stage open operation. A 70-year-old patient underwent urgent endovascular repair through the right femoral approach because of a diagnosis of sepsis and impending rupture of an infected thoracic aortic arch aneurysm. After 2 weeks of medical treatment, we successfully performed explantation of the stent graft, wide debridement of the surrounding tissue, and in-situ replacement using a rifampicin-bonded four-branched prosthetic graft with omental flap.

Keywords: 26.

Publication types

Case Reports

MeSH terms

Aged
Aneurysm, Infected / complications
Aneurysm, Infected / surgery*
Aortic Aneurysm, Thoracic / complications
Aortic Aneurysm, Thoracic / surgery*
Combined Modality Therapy
Endovascular Procedures*
Humans
Male
Time Factors
Vascular Surgical Procedures