TEVAR for ruptured aortic infections Department of Cardiovascular Surgery 1) , Radiology 2) Kobe University Graduate School of Medicine Department of Radiology, Kobe Redcross Hospital 3) A. Kitagawa 1) , Y. Okita 1) , K. Okada 1) , Y. Morimoto 1) , M. Matsumori 1) , H. Munakata 1) , M. Yamaguchi 2) , K. Sugimura 2) K. Sugimoto 3)
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TEVAR for ruptured aortic infections
Department of Cardiovascular Surgery 1), Radiology 2)
Kobe University Graduate School of Medicine
Department of Radiology, Kobe Redcross Hospital 3)
A. Kitagawa 1), Y. Okita 1) , K. Okada 1), Y. Morimoto 1), M. Matsumori 1), H. Munakata 1), M. Yamaguchi 2), K. Sugimura 2) K. Sugimoto 3)
Background
Ruptured aortic infections caused by aortoesophageal
fistula (AEF) or aortobronchial fistula (ABF) are the life-
threatening diseases.
Objective
We analyzed our results of TEVAR (thoracic
endovascular aortic repair) for ruptured aortic
infections.
2000.1~2008.3
Number: 6 cases (male 3, female 3) Age: 63 ±7 years old (53 - 82 )Follow-up: 1.8 ±2.0 years (7days– 3.4 years)
Etiology: AEF 4ABF 1pyothorax 1
Patients’ Profile
TEVAR for AEF (died on 163 POD)
1) TEVAR 2) 1days after TEVAR
before after
60 year-old, male , ULP in the chronic aortic dissection, with hematemesis
EVAR for mycotic aneurysm (Kan et al, JVS 2007)EVAR is a possible alternative to treat this pathology,However, aneurysm of rupture and fever is a significant independentrisk factor for persistent infection.