scholarly journals Extra-anatomical ascending-thoraco-abdominal bypass for aortic fistula after thoracic endovascular aortic repair

2019 ◽  
Vol 56 (6) ◽  
pp. 1199-1201
Author(s):  
Zain Al Rstum ◽  
Akiko Tanaka ◽  
Hazim J Safi ◽  
Anthony L Estrera
Keyword(s):  
Abdominal Aorta ◽  
Surgical Repair ◽  
Aortic Injury ◽  
Ascending Aorta ◽  
Thoracic Endovascular Aortic Repair ◽  
Endovascular Aortic Repair ◽  
Open Surgical Repair ◽  
Aortic Repair ◽  
Aortic Injuries ◽  
Fatal Complications

Abstract Aortobronchial and aorto-oesophageal fistulae after thoracic endovascular aortic repair (TEVAR) for traumatic aortic injuries are rare but serious. Potentially fatal complications may occur years after the stent graft deployment. Surgical management is challenging. We report on a 33-year-old male with aorto-oesophageal fistula and a 25-year-old male with aortobronchial fistula—both of whom received TEVAR for traumatic aortic injury. Each underwent successful staged open surgical repair with extra-anatomical bypass from the ascending aorta to the thoraco-abdominal aorta, along with arch vessel reconstructions and debridement of infected lesions. They remained alive after 18 months.

Hybrid technique for the management of thoracoabdominal aortic thrombosis and symptomatic Trans-Atlantic Inter-Society Consensus “C” aorto-iliac disease

Vascular ◽  
2017 ◽  
Vol 26 (3) ◽  
pp. 331-334
Author(s):  
Aasim Khan ◽  
Thodur Vasudevan
Keyword(s):  
Abdominal Aorta ◽  
Surgical Repair ◽  
Thoracic Endovascular Aortic Repair ◽  
Endovascular Aortic Repair ◽  
Hybrid Technique ◽  
Open Surgical Repair ◽  
Aortic Repair ◽  
Aortic Thrombus ◽  
Viable Approach ◽  
Thoracic And Abdominal

Objective Thrombotic disease of the thoracic and abdominal aorta co-existing with aorto-iliac disease is a rare clinical association, which poses a great therapeutic challenge and adds to the complexity of the open surgical repair. Method We describe a case of 53-year-old woman with symptomatic thrombus in the thoracic and abdominal aorta down to the aortic bifurcation, which was successfully treated by Thoracic EndoVascular Aortic Repair via the left subclavian artery, open thrombectomy and aorto-iliac bypass. Result Completion angiogram performed through the axillary cannula showed good flow in the aorta, visceral vessels and iliac arteries. Conclusion This hybrid technical approach was a safe and effective strategy to tackle diffuse aortic thrombus with minimal morbidity and visceral embolization. Simultaneous aorto bi iliac bypass with thoracic endovascular aortic repair is a viable approach that can be undertaken with lesser morbidity and mortality risk as compared to complex and highly stressful total open surgical repair.

scholarly journals Extra-anatomical bypass to treat aortic endograft infection after thoracic endovascular aortic repair

2020 ◽  
Vol 30 (4) ◽  
pp. 620-622 ◽  
Author(s):  
Yangfeng Tang ◽  
Lin Han ◽  
Xinli Fan ◽  
Boyao Zhang ◽  
Jiajun Zhang ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Antibiotic Therapy ◽  
Abdominal Aorta ◽  
Prosthetic Graft ◽  
Ascending Aorta ◽  
Thoracic Endovascular Aortic Repair ◽  
Endovascular Aortic Repair ◽  
Aortic Repair ◽  
Endograft Infection ◽  
Prolonged Antibiotic Therapy

Abstract This study aimed to report the case of 7 consecutive patients who underwent surgical treatment for aortic endograft infection after thoracic endovascular aortic repair (TEVAR). The management included the reconstruction of aorta using extra-anatomic prosthetic graft bypass (between the ascending aorta and the abdominal aorta), removal of the infected endograft with debridement of the infected tissue and sac drainage, followed by prolonged antibiotic therapy. This brief communication highlights that the reconstruction of aorta using extra-anatomic prosthetic graft bypass during surgical treatment for aortic endograft infection after TEVAR was reliable and effective.

scholarly journals PC200. Midterm Outcomes After Thoracic Endovascular Aortic Repair of Blunt Traumatic Thoracic Aortic Injury

2018 ◽  
Vol 67 (6) ◽  
pp. e228
Author(s):  
Ying Huang ◽  
Salome Weiss ◽  
Gustavo S. Oderich ◽  
Manju Kalra ◽  
Jill K. Johnstone ◽  
...  
Keyword(s):  
Aortic Injury ◽  
Thoracic Endovascular Aortic Repair ◽  
Endovascular Aortic Repair ◽  
Aortic Repair ◽  
Thoracic Aortic Injury

Long-Term Outcomes of Thoracic Endovascular Aortic Repair Focused on Bird Beak and Oversizing in Blunt Traumatic Thoracic Aortic Injury

2018 ◽  
Vol 50 ◽  
pp. 140-147 ◽  
Author(s):  
Marvin Ernesto García Reyes ◽  
Gabriela Gonçalves Martins ◽  
Valentín Fernández Valenzuela ◽  
José Manuel Domínguez González ◽  
Jordi Maeso Lebrun ◽  
...  
Keyword(s):  
Aortic Injury ◽  
Thoracic Endovascular Aortic Repair ◽  
Endovascular Aortic Repair ◽  
Long Term Outcomes ◽  
Aortic Repair ◽  
Thoracic Aortic Injury ◽  
Bird Beak

Back stabber: ladder fall causing traumatic aortic transection

2019 ◽  
Vol 27 (4) ◽  
pp. 302-303
Author(s):  
Babatunde A Yerokun ◽  
Jatin Anand ◽  
Richard L McCann ◽  
G Chad Hughes
Keyword(s):  
Back Pain ◽  
Spinal Fusion ◽  
Aortic Wall ◽  
Excellent Result ◽  
Aortic Injury ◽  
Thoracic Endovascular Aortic Repair ◽  
Endovascular Aortic Repair ◽  
Thoracic Vertebrae ◽  
Aortic Repair ◽  
Aortic Transection

A 68-year-old man presented with back pain after falling from a ladder and was found to have anterolisthesis of thoracic vertebrae T11-12 with secondary focal aortic injury and disruption of the aortic wall. This was successfully repaired using thoracic endovascular aortic repair (TEVAR) followed by spinal fusion with excellent result.

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