Staged complex reconstruction of infected thoracic aortic endograft and adjacent spinal hardware using latissimus wrapped lateral aortic graft.
| Autor: | Bozzay JD; Division of Vascular Diseases and Surgery, Department of Surgery, The Ohio State University Wexner Medical Center, Columbus, OH., Kneuertz PJ; Division of Thoracic Surgery, Department of Surgery, The Ohio State University Wexner Medical Center, Columbus, OH., Xu DS; Department of Neurosurgery, The Ohio State University Wexner Medical Center, Columbus, OH., Sarac TP; Division of Vascular Diseases and Surgery, Department of Surgery, The Ohio State University Wexner Medical Center, Columbus, OH., Bozinovski J; Division of Cardiac Surgery, Department of Surgery, The Ohio State University Wexner Medical Center, Columbus, OH., Orion KC; Division of Vascular Diseases and Surgery, Department of Surgery, The Ohio State University Wexner Medical Center, Columbus, OH. |
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| Jazyk: | angličtina |
| Zdroj: | Journal of vascular surgery cases and innovative techniques [J Vasc Surg Cases Innov Tech] 2024 Aug 05; Vol. 10 (6), pp. 101596. Date of Electronic Publication: 2024 Aug 05 (Print Publication: 2024). |
| DOI: | 10.1016/j.jvscit.2024.101596 |
| Abstrakt: | Thoracic endovascular aortic repair (TEVAR) enables rapid and effective treatment of life-threatening aortic injuries. The occurrence of long-term complications from TEVAR and their management is ill-defined in young patients. This report describes a complex case of a 38-year-old male patient who underwent staged interventions for different acute pathologies instigated by blunt thoracic spinal trauma. The patient was initially treated with a TEVAR for aortic pseudoaneurysm in the setting of infected spinal hardware, which later resulted in an aortobronchial fistula and eroded spinal hardware. This report illustrates a successful multidisciplinary approach for definitive treatment with graft explant and aortic reconstruction. Competing Interests: None. (© 2024 Published by Elsevier Inc. on behalf of Society for Vascular Surgery.) |
| Databáze: | MEDLINE |
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