Movie Night: Thoracic

Abstract

anatomic dehiscence. The patient returned to the OR where endoscopy was performed revealing an anterior anastomotic breakdown approximately 9mm in diameter. The mediastinal collection was drained using a nasogastric tube guided across the dehiscence into the mediastinum prior to placement of a covered esophageal stent to close the defect. Results: Patient status improved with ongoing trans-defect drainage of mediastinum and stent exclusion for source con-trol. Conclusions: Nasogastric tube placement for drainage across anastomotic dehiscence with endoscopic stenting presents a potential option for nonoperative source control of post-esophagectomy anastomotic leaks. Self Expanding TAVR prosthesis, given its longer frame and self-expanding nature. Conclusions: This video case report describes the explantation of a TAVR valve and various technical challenges faced by the surgeon given advanced degeneration of the aortic sinuses post TAVR implantation, which was compounded by the aortic tear in the setting of an infected prosthesis