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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Main Authors: Sebastian Paul Pleger, Nadine Nink, Andreas Böning, Ahmed Koshty
Format: Article
Language:English
Published: Georg Thieme Verlag KG 2017-01-01
Series:The Thoracic & Cardiovascular Surgeon Reports
Subjects:
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.
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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
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