Staged complex reconstruction of infected thoracic aortic endograft and adjacent spinal hardware using latissimus wrapped lateral aortic graft

• Published in: Journal of vascular surgery cases and innovative techniques Vol. 10; no. 6; p. 101596
• Main Authors: Bozzay, Joseph D., Kneuertz, Peter J., Xu, David S., Sarac, Timur P., Bozinovski, John, Orion, Kristine C.
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01-12-2024; Elsevier
• Subjects: Aortobronchial fistula; Spinal hardware; Thoracic endograft; Spinal hardware; Thoracic endograft; Aortobronchial fistula
• ISSN: 2468-4287; 2468-4287
• DOI: 10.1016/j.jvscit.2024.101596

Thoracic endovascular aortic repair (TEVAR) enables rapid and effective treatment of life-threatening aortic injuries. The occurrence of long-term complications from TEVAR and their management is ill-defined in young patients. This report describes a complex case of a 38-year-old male patient who underwent staged interventions for different acute pathologies instigated by blunt thoracic spinal trauma. The patient was initially treated with a TEVAR for aortic pseudoaneurysm in the setting of infected spinal hardware, which later resulted in an aortobronchial fistula and eroded spinal hardware. This report illustrates a successful multidisciplinary approach for definitive treatment with graft explant and aortic reconstruction.