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Strategic 2-step surgery using thoracic endovascular aortic repair for an infected thoracic aortic aneurysm

An 81-year-old man with multiple comorbidities developed infected thoracic aortic aneurysm, and we employed a strategic 2-step surgical approach combining thoracic endovascular aortic repair and local debridement with an omental flap during the active phase of infection. No signs of reinfection were...

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Detalles Bibliográficos
Autores principales: Nakano, Mitsunori, Miyagawa, Atsushi, Shinoda, Daigo, Yuri, Koichi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9336548/
https://www.ncbi.nlm.nih.gov/pubmed/35771639
http://dx.doi.org/10.1093/icvts/ivac174
Descripción
Sumario:An 81-year-old man with multiple comorbidities developed infected thoracic aortic aneurysm, and we employed a strategic 2-step surgical approach combining thoracic endovascular aortic repair and local debridement with an omental flap during the active phase of infection. No signs of reinfection were observed at the 1-year follow-up. This strategy can be a safe and less invasive alternative to conventional open surgery in patients with high surgical risk.