Endovascular Repair as a Bridge to Open Repair of a Ruptured Descending Thoracic Aspergillus Aortitis

被引：3

作者：

Tresson, Philippe ^{[1
]}

Roussel, Arnaud ^{[1
]}

Mordant, Pierre ^{[1
]}

Cerceau, Pierre ^{[1
]}

Castier, Yves ^{[1
]}

Pellenc, Quentin ^{[1
]}

机构：

[1] Univ Diderot, Serv Chirurg Vasc & Thorac, Hop Bichat, Paris, France

来源：

ANNALS OF THORACIC SURGERY | 2017年 / 104卷 / 06期

关键词：

FUNGAL-INFECTIONS; ANEURYSM; AORTA;

D O I：

10.1016/j.athoracsur.2017.04.055

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Invasive aspergillosis rarely involves the thoracic aorta and is associated with a poor prognosis. A 56-year-old heart transplant recipient presented with invasive aspergillosis, primary Aspergillus aortitis, and a ruptured thoracic aorta pseudoaneurysm. Open surgical repair was not possible because of severe sepsis. Therefore, a sequential surgical strategy was planned, including emergency thoracic endovascular aortic repair, followed by antifungal treatment and definitive open repair with explantation of the endograft and placement of a cryopreserved arterial allograft under extracorporeal membrane oxygenator support. The infection did not reoccur during follow-up, and the patient remained alive and well 13 months after the operation. (C) 2017 by The Society of Thoracic Surgeons

引用

页码：E425 / E428

页数：4

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