Journal of Vascular Surgery Cases and Innovative Techniques (Dec 2024)

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

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

Journal volume & issue
Vol. 10, no. 6
p. 101596

Abstract

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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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