Explantation of infected thoracic endovascular aortic repair

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Presentation transcript:

Explantation of infected thoracic endovascular aortic repair Emily Y. Fan, BA, Dejah R. Judelson, MD, Andres Schanzer, MD Journal of Vascular Surgery Cases and Innovative Techniques Volume 4, Issue 4, Pages 307-310 (December 2018) DOI: 10.1016/j.jvscit.2018.02.010 Copyright © 2018 The Authors Terms and Conditions

Fig 1 Air between the endograft and native wall of the aorta (arrow) and a vegetation adhering to the aortic endograft (star) are demonstrated on a preoperative axial computed tomography angiography scan. Journal of Vascular Surgery Cases and Innovative Techniques 2018 4, 307-310DOI: (10.1016/j.jvscit.2018.02.010) Copyright © 2018 The Authors Terms and Conditions

Fig 2 A, Intraoperative resection of aorta-bronchial fistula between the left upper lobe of the lung and the aortic endograft. B and C, Excised aortic endograft with an intraluminal vegetation. D, Portion of the excised infected native descending thoracic aorta. Journal of Vascular Surgery Cases and Innovative Techniques 2018 4, 307-310DOI: (10.1016/j.jvscit.2018.02.010) Copyright © 2018 The Authors Terms and Conditions

Fig 3 Inline anatomic reconstruction of the descending thoracic aorta with a rifampin antibiotic-soaked Dacron graft. Journal of Vascular Surgery Cases and Innovative Techniques 2018 4, 307-310DOI: (10.1016/j.jvscit.2018.02.010) Copyright © 2018 The Authors Terms and Conditions

Fig 4 Postoperative chylothorax secondary to thoracic duct disruption (A) that was treated successfully with percutaneous coil embolization and Onyx glue (B). C, Reconstruction image obtained 2 months postoperatively demonstrates thoracic aorta with excellent patency. Journal of Vascular Surgery Cases and Innovative Techniques 2018 4, 307-310DOI: (10.1016/j.jvscit.2018.02.010) Copyright © 2018 The Authors Terms and Conditions