Combined endovascular and open treatment for infected pseudoaneurysm of the thoracic aortic arch.
Infected pseudoaneurysm of the aortic arch is a rare but life-threatening condition. The conventional treatment involves cardiopulmonary bypass, prolonged vascular clamping, and an extensive bypass procedure. We report a case of infected pseudoaneurysm involving the aortic arch. The patient underwent debranching of the supra-aortic arteries and bypass surgery, followed by stent grafting the next day. The patient had good recovery, and the 1-year follow-up computed tomography scan showed resolution of the infected pseudoaneurysm.
Kwok Keung Ho
Department of Cardiothoracic Surgery, Queen Elizabeth Hospital, Hong Kong.
Kwok
Philip Chong-hei
PC
Shiu Shek Chung
Wong Kan Wong
D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000601:surgery / Q000628:therapy*; D000785:Aneurysm, Infected / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000601:surgery / Q000628:therapy*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000601:surgery / Q000628:therapy*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D002406:Catheterization, Peripheral / Q000295:instrumentation; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D008875:Middle Aged; D015242:Ofloxacin / Q000627:therapeutic use; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents; D015242:Ofloxacin