Ascendobifemoral Bypass for the Treatment of a Thoracic Endograft Infection
Abstract Background Endograft infections (EIs) are rare complications after endovascular procedures in the thoracic and abdominal aortas. The challenging treatment encloses antibiotic and surgical therapies. Case Description A 74-year-old male patient developed an EI after...
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Format: | Article |
Language: | English |
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Georg Thieme Verlag KG
2017-01-01
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Series: | The Thoracic & Cardiovascular Surgeon Reports |
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Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0037-1607272 |
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author | Sebastian Paul Pleger Nadine Nink Andreas Böning Ahmed Koshty |
author_facet | Sebastian Paul Pleger Nadine Nink Andreas Böning Ahmed Koshty |
author_sort | Sebastian Paul Pleger |
collection | DOAJ |
description | Abstract
Background Endograft infections (EIs) are rare complications after endovascular procedures in the thoracic and abdominal aortas. The challenging treatment encloses antibiotic and surgical therapies.
Case Description A 74-year-old male patient developed an EI after an endovascular procedure (thoracic endovascular aortic repair [TEVAR]). Despite a long-term oral antibiotic therapy, the clinical symptoms showed no falling trend. Because of the expanded infection from above the celiac trunk up to the aortic arch, we decided to remove the infected endograft and to implant an extra-anatomic ascendobifemoral bypass.
Conclusion The implantation of an ascendobifemoral bypass was a successful treatment option for EIs after TEVAR. |
first_indexed | 2024-12-21T21:52:23Z |
format | Article |
id | doaj.art-8a513e381bbb40eeb2bc199b80f0543c |
institution | Directory Open Access Journal |
issn | 2194-7635 2194-7643 |
language | English |
last_indexed | 2024-12-21T21:52:23Z |
publishDate | 2017-01-01 |
publisher | Georg Thieme Verlag KG |
record_format | Article |
series | The Thoracic & Cardiovascular Surgeon Reports |
spelling | doaj.art-8a513e381bbb40eeb2bc199b80f0543c2022-12-21T18:49:03ZengGeorg Thieme Verlag KGThe Thoracic & Cardiovascular Surgeon Reports2194-76352194-76432017-01-010601e32e3410.1055/s-0037-1607272Ascendobifemoral Bypass for the Treatment of a Thoracic Endograft InfectionSebastian Paul Pleger0Nadine Nink1Andreas Böning2Ahmed Koshty3Department of Vascular and Endovascular Surgery, Jung-Stilling Hospital, Siegen, GermanyDepartment of Vascular and Endovascular Surgery, Jung-Stilling Hospital, Siegen, GermanyDepartment of Adult and Pediatric Cardiovascular Surgery and Vascular Surgery, University Hospital of Giessen, Justus Liebig University, Giessen, GermanyDepartment of Vascular and Endovascular Surgery, Jung-Stilling Hospital, Siegen, GermanyAbstract Background Endograft infections (EIs) are rare complications after endovascular procedures in the thoracic and abdominal aortas. The challenging treatment encloses antibiotic and surgical therapies. Case Description A 74-year-old male patient developed an EI after an endovascular procedure (thoracic endovascular aortic repair [TEVAR]). Despite a long-term oral antibiotic therapy, the clinical symptoms showed no falling trend. Because of the expanded infection from above the celiac trunk up to the aortic arch, we decided to remove the infected endograft and to implant an extra-anatomic ascendobifemoral bypass. Conclusion The implantation of an ascendobifemoral bypass was a successful treatment option for EIs after TEVAR.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0037-1607272endograft infectiontevarascending aortaascendobifemoral bypassextra-anatomicrevascularization |
spellingShingle | Sebastian Paul Pleger Nadine Nink Andreas Böning Ahmed Koshty Ascendobifemoral Bypass for the Treatment of a Thoracic Endograft Infection The Thoracic & Cardiovascular Surgeon Reports endograft infection tevar ascending aorta ascendobifemoral bypass extra-anatomic revascularization |
title | Ascendobifemoral Bypass for the Treatment of a Thoracic Endograft Infection |
title_full | Ascendobifemoral Bypass for the Treatment of a Thoracic Endograft Infection |
title_fullStr | Ascendobifemoral Bypass for the Treatment of a Thoracic Endograft Infection |
title_full_unstemmed | Ascendobifemoral Bypass for the Treatment of a Thoracic Endograft Infection |
title_short | Ascendobifemoral Bypass for the Treatment of a Thoracic Endograft Infection |
title_sort | ascendobifemoral bypass for the treatment of a thoracic endograft infection |
topic | endograft infection tevar ascending aorta ascendobifemoral bypass extra-anatomic revascularization |
url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0037-1607272 |
work_keys_str_mv | AT sebastianpaulpleger ascendobifemoralbypassforthetreatmentofathoracicendograftinfection AT nadinenink ascendobifemoralbypassforthetreatmentofathoracicendograftinfection AT andreasboning ascendobifemoralbypassforthetreatmentofathoracicendograftinfection AT ahmedkoshty ascendobifemoralbypassforthetreatmentofathoracicendograftinfection |