Abstract
Purpose: To present a technique for endovascular treatment using a fenestrated stent-graft in a patient with ascending aortic rupture in the setting of methicillin-resistant Staphylococcus aureus infection. Case Report: A 62-year-old woman had undergone mastectomy and radiotherapy twice for breast cancer and then coronary artery bypass grafting (CABG). She developed sternal osteomyelitis 5 years after the CABG. Sternectomy and negative-pressure wound drainage were performed, but the infection did not resolve. Ascending aortic rupture occurred 5 months after sternectomy. Endovascular therapy was considered the only effective means of achieving hemostasis. A custom-designed fenestrated stent-graft was deployed from the ascending aorta to the proximal descending aorta via a femoral artery approach without transient cardiac arrest. Bleeding completely stopped after surgery. The postoperative course was uneventful, and the inflammatory activity subsided on antibiotic therapy. At 7 months after surgery, the patient's recovery has been uneventful. Conclusion: Rupture of the ascending aorta associated with infection was successfully treated by stent-graft repair. The use of a custom-made, fenestrated stent-graft was an effective, lifesaving procedure for the management of this ascending aortic lesion.
Original language | English (US) |
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Pages (from-to) | 395-398 |
Number of pages | 4 |
Journal | Journal of Endovascular Therapy |
Volume | 17 |
Issue number | 3 |
DOIs | |
State | Published - Jun 2010 |
Externally published | Yes |
Keywords
- Aortic rupture
- Ascending aorta
- Fenestrated stent-graft
- Methicillin-resistant Staphylococcus aureus
- Sternal osteomyelitis
- Thoracic endovascular aortic repair
ASJC Scopus subject areas
- Surgery
- Radiology Nuclear Medicine and imaging
- Cardiology and Cardiovascular Medicine