Strategic 2-step surgery using thoracic endovascular aortic repair for an infected thoracic aortic aneurysm | Zendy

Mitsunori Nakano | Zendy; Atsushi Miyagawa | Zendy; Daigo Shinoda | Zendy; Koichi Yuri | Zendy

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Strategic 2-step surgery using thoracic endovascular aortic repair for an infected thoracic aortic aneurysm

Author(s) -

Mitsunori Nakano,

Atsushi Miyagawa,

Daigo Shinoda,

Koichi Yuri

Publication year - 2022

Publication title -

interactive cardiovascular and thoracic surgery

Language(s) - English

Resource type - Journals

eISSN - 1569-9293

pISSN - 1569-9285

DOI - 10.1093/icvts/ivac174

Subject(s) - medicine , thoracic aortic aneurysm , surgery , aortic repair , aortic aneurysm , aneurysm , cardiothoracic surgery , thoracic aorta , debridement (dental) , radiology , aorta

An 81-year-old man with multiple comorbidities developed infected thoracic aortic aneurysm, and we employed a strategic 2-step surgical approach combining thoracic endovascular aortic repair and local debridement with an omental flap during the active phase of infection. No signs of reinfection were observed at the 1-year follow-up. This strategy can be a safe and less invasive alternative to conventional open surgery in patients with high surgical risk.

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