Total arch and descending aorta replacement via left thoracotomy for infected post-thoracic endovascular aortic repair type B aortic dissection

Atsushi Miyagawa; Homare Okamura; Yuichiro Kitada; Mamoru Arakawa; Hideo Adachi

doi:10.1007/s11748-020-01446-8

Total arch and descending aorta replacement via left thoracotomy for infected post-thoracic endovascular aortic repair type B aortic dissection

Gen Thorac Cardiovasc Surg. 2021 Feb;69(2):346-349. doi: 10.1007/s11748-020-01446-8. Epub 2020 Jul 27.

Authors

Atsushi Miyagawa¹, Homare Okamura², Yuichiro Kitada¹, Mamoru Arakawa¹, Hideo Adachi¹

Affiliations

¹ Department of Cardiovascular Surgery, Nerima Hikarigaoka Hospital, 2-11-1 Hikarigaoka, Nerima-Ku, Tokyo, 179-0072, Japan.
² Department of Cardiovascular Surgery, Nerima Hikarigaoka Hospital, 2-11-1 Hikarigaoka, Nerima-Ku, Tokyo, 179-0072, Japan. homareo@jadecom.jp.

PMID: 32720243
DOI: 10.1007/s11748-020-01446-8

Abstract

A 38-year-old man underwent thoracic endovascular aortic repair for impending rupture of acute type B aortic dissection. Computed tomography revealed abscess formation around the proximal descending aorta 4 weeks after endovascular treatment. He underwent one-stage total arch and descending aorta replacement and omental wrapping via left thoracotomy. At the 6-month follow-up, his postoperative course was uneventful.

Keywords: Aortic dissection; Infection; Left thoracotomy.

Publication types

Case Reports

MeSH terms

Adult
Aorta, Thoracic / diagnostic imaging
Aorta, Thoracic / surgery
Aortic Aneurysm, Thoracic* / diagnostic imaging
Aortic Aneurysm, Thoracic* / surgery
Aortic Dissection* / diagnostic imaging
Aortic Dissection* / surgery
Blood Vessel Prosthesis Implantation* / adverse effects
Humans
Male
Replantation
Thoracotomy
Treatment Outcome