Explantation of an Infected TEVAR With an Extra-Anatomic Arch Reconstruction Along the Right Heart.

Rabenstein, Andrew; Bilfinger, Thomas; Loh, Shang; McLarty, Allison · Ann Thorac Surg · 2020

case_report · Level V

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Abstract

This case represents the disease progression and workup of an infected thoracic endovascular aortic repair (TEVAR) graft that initially manifested as an aortic arch pseudoaneurysm. The patient underwent a 2-stage operation to resect the infected TEVAR and to reconstruct flow via an extra-anatomic aortic bypass paralleling the right heart. This is one of the few documented cases of TEVAR explantation with an extra-anatomic aortic bypass to re-establish flow.

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