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Case Reports
. 2023 Feb;48(1):36-40.
doi: 10.1016/j.jdmv.2023.02.001. Epub 2023 Mar 9.

Ruptured infective native thoracic aortic aneurysm treated by endovascular repair as a bridge therapy to open repair

M Corniquet  1 , M Khalifé  2 , A G Lellouch  3 , A Bel  4 , F Bellenfant  5 , P Julia  6 , J-M Alsac  7 , S El Batti  8 , I Ben Abdallah  9
Affiliations
Case Reports

Ruptured infective native thoracic aortic aneurysm treated by endovascular repair as a bridge therapy to open repair

M Corniquet et al. J Med Vasc. 2023 Feb.

Abstract

We report the case of a 70-year-old woman who presented with a ruptured infective native thoracic aortic aneurysm (INTAA), associated with spondylodiscitis and posterior mediastinitis. She underwent a staged hybrid repair: urgent thoracic endovascular aortic repair was first performed as a bridge therapy in the context of septic shock. Allograft repair using cardiopulmonary bypass was performed five days later. Given the complexity of INTAA, multidisciplinary teamwork was paramount to determine the most appropriate treatment strategy, including procedure planning with multiple operators as well as perioperative care. Therapeutic alternatives are discussed.

Keywords: Aortitis; Endovascular procedure; Infection; Infective native thoracic aortic aneurysm.

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