Hybrid Therapy for Mycotic Aortic Aneurysm with Stent-Graft and Video-Assisted Thoracoscopic Debridement

Treating mycotic aortic aneurysm with thoracic endovascular aortic repair (TEVAR) remains controversial because of sustained infection post-treatment. In this study, an 83-year-old man, who had a ruptured mycotic thoracic aortic aneurysm, underwent salvage TEVAR. However, because an abscess appeared...

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Bibliographic Details
Published in:Annals of Vascular Diseases 2019/03/25, Vol.12(1), pp.69-73
Main Authors: Hirano, Koji, Tokui, Toshiya, Nakamura, Bun, Inoue, Ryosai, Inagaki, Masahiro, Toyoshima, Hirokazu, Chino, Shuji, Watanabe, Fumiaki, Kato, Noriyuki, Maze, Yasumi
Format: Article
Language:English
Subjects:
Case Report
mycotic aortic aneurysm
stent-graft
video-assisted thoracoscopic debridement
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Summary:Treating mycotic aortic aneurysm with thoracic endovascular aortic repair (TEVAR) remains controversial because of sustained infection post-treatment. In this study, an 83-year-old man, who had a ruptured mycotic thoracic aortic aneurysm, underwent salvage TEVAR. However, because an abscess appeared in the aneurysm on follow-up computed tomography, video-assisted thoracoscopic debridement (VATD) followed by continuous drainage was performed next and was successful in eliminating the infection from the abscess. Although frozen elephant trunk and proximal aortic arch repair were further required owing to another pseudoaneurysm, there was no sign of recurrent infection thereafter. The combination of TEVAR and VATD can be effective in treatment of mycotic aortic diseases in selected patients.
ISSN:1881-641X
1881-6428
DOI:10.3400/avd.cr.18-00119