Ruptured infective native thoracic aortic aneurysm treated by endovascular repair as a bridge therapy to open repair - 28/04/23

Doi : 10.1016/j.jdmv.2023.02.001

M. Corniquet ^a,^b,^⁎ , M. Khalifé ^c , A.G. Lellouch ^d , A. Bel ^a,^b , F. Bellenfant ^e , P. Julia ^a , J.-M. Alsac ^a,^b , S. El Batti ^a,^b,^{^{1
Senior co-authorship.}} , I. Ben Abdallah ^a,^b,^{^{1
Senior co-authorship.}}
^a Department of cardiovascular surgery, Hôpital Européen Georges-Pompidou (HEGP), Université Paris Cité, Assistance publique–Hôpitaux de Paris (AP–HP), 20, rue Leblanc, 75015 Paris, France
^b Inserm, UMR S 1140, Fondation Alain Carpentier, Laboratoire de Recherches Biochirugicales, 75015 Paris, France
^c Department of orthopedic surgery, HEGP, Université Paris Cité, AP–HP, 20, rue Leblanc, 75015 Paris, France
^d Department of plastic surgery, HEGP, Université Paris Cité, AP–HP, 20, rue Leblanc, 75015 Paris, France
^e Department of anesthesiology and critical care, HEGP, Université Paris Cité, AP–HP, 20, rue Leblanc, 75015 Paris, France

^⁎Corresponding author. Department of cardiovascular surgery, HEGP, université de Paris, AP–HP, 20, rue Leblanc, 75015 Paris, France.Department of cardiovascular surgery, HEGP, université de Paris, AP–HP20, rue LeblancParis75015France

Summary

We report the case of a 70-year-old woman who presented with a ruptured infective native thoracic aortic aneurysm (INTAA), associated with spondylodiscitis and posterior mediastinitis. She underwent a staged hybrid repair: urgent thoracic endovascular aortic repair was first performed as a bridge therapy in the context of septic shock. Allograft repair using cardiopulmonary bypass was performed five days later. Given the complexity of INTAA, multidisciplinary teamwork was paramount to determine the most appropriate treatment strategy, including procedure planning with multiple operators as well as perioperative care. Therapeutic alternatives are discussed.

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Keywords : Infective native thoracic aortic aneurysm, Endovascular procedure, Aortitis, Infection

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Vol 48 - N° 1

P. 36-40 - février 2023 Retour au numéro

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Ruptured infective native thoracic aortic aneurysm treated by endovascular repair as a bridge therapy to open repair - 28/04/23

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