Catalano Michael A, Chin Cecillia, Desai Nimesh D, Lawrence Kendall M
Division of Cardiac Surgery, Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA, USA.
Interdiscip Cardiovasc Thorac Surg. 2025 Mar 29;40(4). doi: 10.1093/icvts/ivaf073.
We present a 51-year-old woman with thoracic aortitis and rapidly enlarging descending thoracic aortic aneurysm in the setting of Clostridium septicum bacteraemia. After antibiotic treatment, she underwent left carotid-subclavian transposition and endovascular repair with thoracic branched endograft (TBE) with left carotid artery coverage. Three months postoperatively, she developed endograft infection, with a rapidly enlarging pseudoaneurysm at the proximal landing zone. She underwent TBE explant and descending thoracic aortic reconstruction. This report illustrates a rare complication and the first described surgical TBE explantation.
我们报告一名51岁女性，患有胸主动脉炎，在败血梭状芽孢杆菌菌血症的情况下，降主动脉瘤迅速增大。抗生素治疗后，她接受了左颈动脉-锁骨下动脉转位术以及带分支的胸主动脉腔内修复术（TBE），覆盖左颈动脉。术后三个月，她发生了腔内移植物感染，近端锚定区出现迅速增大的假性动脉瘤。她接受了TBE移植物取出及降主动脉重建术。本报告阐述了一种罕见的并发症以及首次描述的外科TBE移植物取出术。
