JACC. Case reports · 2025
Mycotic Aortic Pseudoaneurysm in Zone Zero-Zero After Hybrid Therapy.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Leocachin Daniela, Estrada Joel, Quintero Jair, Montoya Silvestre, Malvaez Héctor, Zamudio Jonathan, Pimentel Gela, Arizmendi Efrain, Saturno-Chiu Guillermo, Uribe Jhonathan
Аннотация
BACKGROUND: Ascending aorta mycotic pseudoaneurysms are an uncommon condition. The best treatment is controversial, including surgical treatment, endovascular treatment, or a combination of both.
CASE SUMMARY: A 44-year-old man was admitted to our hospital with history of a type B aortic dissection 1 year ago. He was successfully treated with hybrid therapy, aortic cerclage, and carotid bridge plus endoprosthesis implantation. During his follow-up, an ascending aorta mycotic pseudoaneurysm was documented by computed tomography scan. Two-stage hybrid therapy with brachiocephalic trunk debranching and a zone zero thoracic endovascular repair (TEVAR) were then successfully performed.
DISCUSSION: Endovascular repair as emergency therapy for aorta or aortic graft infection is feasible and may well serve as a definite treatment option in selected cases, as high surgical risk patients.
TAKE-HOME MESSAGE: It is possible to perform endovascular repair of mycotic aortic aneurysm as a late complication of TEVAR of aortic type B dissection.
CASE SUMMARY: A 44-year-old man was admitted to our hospital with history of a type B aortic dissection 1 year ago. He was successfully treated with hybrid therapy, aortic cerclage, and carotid bridge plus endoprosthesis implantation. During his follow-up, an ascending aorta mycotic pseudoaneurysm was documented by computed tomography scan. Two-stage hybrid therapy with brachiocephalic trunk debranching and a zone zero thoracic endovascular repair (TEVAR) were then successfully performed.
DISCUSSION: Endovascular repair as emergency therapy for aorta or aortic graft infection is feasible and may well serve as a definite treatment option in selected cases, as high surgical risk patients.
TAKE-HOME MESSAGE: It is possible to perform endovascular repair of mycotic aortic aneurysm as a late complication of TEVAR of aortic type B dissection.