Arch to Descending Aorta Extra-anatomic Aortic Repair for Thoracic Stent Graft Infection.
We report a case of a pedunculated mass of the aortic isthmus. The patient was treated with bilateral carotid-subclavian bypass and a stent graft to cover the thrombus within the distal arch. The postoperative course was complicated by a stent graft infection. The patient underwent graft explantation with aortic continuity using extra-anatomic bypass from the aortic arch to the distal descending aorta.
Department of Cardiovascular Surgery, Institut Universitaire de Cardiologie et Pneumologie de Québec, Laval University, Sainte-Foy, Québec, Canada.
Maude
M
Gagné-Loranger
Department of Cardiovascular Surgery, Institut Universitaire de Cardiologie et Pneumologie de Québec, Laval University, Sainte-Foy, Québec, Canada.
Éric
É
Dumont
Department of Cardiovascular Surgery, Institut Universitaire de Cardiologie et Pneumologie de Québec, Laval University, Sainte-Foy, Québec, Canada.
Pierre
P
Voisine
Department of Cardiovascular Surgery, Institut Universitaire de Cardiologie et Pneumologie de Québec, Laval University, Sainte-Foy, Québec, Canada.
Siamak
S
Mohammadi
Department of Cardiovascular Surgery, Institut Universitaire de Cardiologie et Pneumologie de Québec, Laval University, Sainte-Foy, Québec, Canada. Electronic address: francois.dagenais@chg.ulaval.ca.
François
F
Dagenais
D000368:Aged; D000784:Aortic Dissection / Q000175:diagnosis / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis / Q000601:surgery*; D001807:Blood Vessel Prosthesis / Q000009:adverse effects* / Q000382:microbiology; D020878:Device Removal; D017548:Echocardiography, Transesophageal; D006801:Humans; D008297:Male; D016459:Prosthesis-Related Infections / Q000175:diagnosis* / Q000382:microbiology / Q000601:surgery; D013203:Staphylococcal Infections / Q000175:diagnosis* / Q000382:microbiology / Q000601:surgery; D013211:Staphylococcus aureus / Q000302:isolation & purification; D015607:Stents / Q000009:adverse effects* / Q000382:microbiology; D014057:Tomography, X-Ray Computed