Repair of infectious thoracoabdominal aneurysm and coeliacomesenteric trunk with removal of endovascular graft.

Multimed Man Cardiothorac Surg

Division of Cardiothoracic Surgery, Department of Surgery, Westchester Medical Center, New York Medical College, Valhalla, NY, USA.

Published: May 2023


Category Ranking

98%

Total Visits

921

Avg Visit Duration

2 minutes

Citations

20

Article Abstract

Infectious aneurysm of the thoracic or abdominal aorta is a rare clinical condition. We present the case of a 72-year-old female with an infectious thoracoabdominal aortic aneurysm with a coeliacomesenteric trunk requiring open repair following endovascular therapy. Following removal of the endovascular graft, the thoracoabdominal aorta was repaired using cardiopulmonary bypass and deep hypothermia. The common trunk of the superior mesenteric artery and the coeliac artery was then reconstructed, which included endarterectomy of the super mesenteric artery to create a cuff for an anastomosis. This case demonstrates the challenges associated with the endovascular repair of a condition with an infectious aetiology and highlights the necessity of open repair in complex cases with aberrant vascular anatomy.

Download full-text PDF

Source
http://dx.doi.org/10.1510/mmcts.2023.022DOI Listing

Publication Analysis

Top Keywords

infectious thoracoabdominal
8
aneurysm coeliacomesenteric
8
coeliacomesenteric trunk
8
removal endovascular
8
endovascular graft
8
open repair
8
mesenteric artery
8
repair
4
repair infectious
4
thoracoabdominal aneurysm
4

Similar Publications

Infective endocarditis is a severe infectious disease that, in addition to cardiac complications such as heart failure and arrhythmias caused by valve damage, may also lead to extracardiac complications such as septic embolization, metastatic abscesses, and mycotic aneurysms. Here, we report a rare case of splenic infarction resulting from infective endocarditis, subsequently leading to the development of a splenic artery aneurysm three weeks post-surgery confirmed both by CTA and DSA. Following arterial embolization of the aneurysm, the patient eventually recovered completely.

View Article and Find Full Text PDF

Mycotic pseudoaneurysms are rare infectious complications that may involve the aorta, peripheral arteries, cerebral arteries, or visceral arteries. We present a unique case of thoracoabdominal mycotic pseudoaneurysm secondary to hematogenous spread of from spinal osteomyelitis. The infections started with bacterial translocation to the calcified ostial plaque around the celiac origin, which then degenerated into a rapidly growing pseudoaneurysm.

View Article and Find Full Text PDF

Fever of unknown origin in a patient with ulcerative colitis: Do not forget large vessel vasculitis.

Vasc Dis (Paris)

April 2025

Department of Internal Medicine, Infectious Diseases, Clinical Immunology, University Hospital of Reims, Reims, France. Electronic address:

We report the case of a patient with ulcerative colitis (UC) who, 4 years after diagnosis, developed large vessel vasculitis (LVV), revealed by high fever, joint pain and headache. Laboratory tests showed C-reactive protein at 326mg/L, leukocytosis at 18.9 G/L, with 14.

View Article and Find Full Text PDF

Introduction: Although immune-related adverse events (irAEs) associated with immune checkpoint inhibitors (ICIs) are widely recognized, ICI-related aortitis is very rare and challenging to diagnose.

Case Presentation: A 70-year-old man with esophageal squamous carcinoma recurring after esophagectomy received paclitaxel therapy after nivolumab therapy. Nivolumab therapy was administered for 26 months; however, no adverse events occurred during treatment.

View Article and Find Full Text PDF

The application of the drug flushing covered stent grafts in endovascular repair of aortic aneurysms caused by brucellosis.

BMC Infect Dis

March 2025

Department of Cardiac and Vascular Surgery, People'S Hospital of Ningxia Hui Autonomous Region, Ningxia Medical University, YinChuan, China.

Objective: Brucellosis-induced aortic aneurysm (BIA), as a rare yet highly life-threatening type of infectious aortic aneurysm, currently lacks standardized treatment protocols. The primary objective of this study is to thoroughly evaluate the safety and efficacy of endovascular therapy using a combination of covered stents and drug irrigation techniques for the treatment of BIA. This endeavor aims to provide a scientific basis for the clinical management of this disease.

View Article and Find Full Text PDF