TY - JOUR
T1 - Surgical explanation of an infected aortic arch endograft
T2 - a two-stage approach
AU - Trimarchi, Santi
AU - Grassi, Viviana
AU - Hasami, Nesar A.
AU - Gelpi, Guido
N1 - Publisher Copyright:
© The Author(s) 2025. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery.
PY - 2025/6/1
Y1 - 2025/6/1
N2 - 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.
AB - 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.
KW - aorta
KW - aortic arch
KW - branched endograft
KW - TEVAR
UR - http://www.scopus.com/inward/record.url?scp=105008132755&partnerID=8YFLogxK
U2 - 10.1093/icvts/ivaf123
DO - 10.1093/icvts/ivaf123
M3 - Article
AN - SCOPUS:105008132755
SN - 2753-670X
VL - 40
JO - Interdisciplinary cardiovascular and thoracic surgery
JF - Interdisciplinary cardiovascular and thoracic surgery
IS - 6
M1 - ivaf123
ER -