Staged complex reconstruction of infected thoracic aortic endograft and adjacent spinal hardware using latissimus wrapped lateral aortic graft

IF 0.7 Q4 SURGERY

Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2024-08-05 DOI:10.1016/j.jvscit.2024.101596

Joseph D. Bozzay MD , Peter J. Kneuertz MD , David S. Xu MD , Timur P. Sarac MD , John Bozinovski MD , Kristine C. Orion MD

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引用次数: 0

Abstract

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.

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用阔筋膜包裹的侧主动脉移植物分阶段复合重建受感染的胸主动脉内膜移植物和邻近的脊柱硬件

胸腔内血管主动脉修复术（TEVAR）能快速有效地治疗危及生命的主动脉损伤。在年轻患者中，TEVAR 长期并发症的发生和处理尚不明确。本报告描述了一例复杂的病例，患者是一名 38 岁的男性，因钝性胸椎创伤引发不同的急性病症而接受了分期介入治疗。患者最初在脊柱硬件感染的情况下接受了主动脉假性动脉瘤的 TEVAR 治疗，后来又导致了主动脉支气管瘘和脊柱硬件侵蚀。本报告展示了一种成功的多学科方法，即通过移植物剥离和主动脉重建进行最终治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Vascular Surgery Cases Innovations and Techniques SURGERY-

CiteScore

1.00

自引率

14.30%

发文量

219

审稿时长

29 weeks

期刊介绍： Journal of Vascular Surgery Cases and Innovative Techniques is a surgical journal dedicated to publishing peer review high quality case reports, vascular images and innovative techniques related to all aspects of arterial, venous, and lymphatic diseases and disorders, including vascular trauma, malformations, wound care and the placement and maintenance of arterio-venous dialysis accesses with an emphasis on the practicing clinician. The Journal seeks to provide novel and timely information to vascular surgeons, interventionalists, phlebologists, wound care specialists, and allied health professionals involved with the management of patients with the entire spectrum of vascular disorders.