NYMC Faculty Publications

Repair of Infectious Thoracoabdominal Aneurysm and Coeliacomesenteric Trunk With Removal of Endovascular Graft

Author Type(s)

Student, Resident/Fellow, Faculty

Journal Title

Multimedia Manual of Cardiothoracic Surgery

Document Type

Article

Publication Date

5-22-2023

Department

Surgery

Abstract

Infectious aneurysm of the thoracic or abdominal aorta is a rare clinical condition. We present the case of a 72-year-old female with an infectious thoracoabdominal aortic aneurysm with a coeliacomesenteric trunk requiring open repair following endovascular therapy. Following removal of the endovascular graft, the thoracoabdominal aorta was repaired using cardiopulmonary bypass and deep hypothermia. The common trunk of the superior mesenteric artery and the coeliac artery was then reconstructed, which included endarterectomy of the super mesenteric artery to create a cuff for an anastomosis. This case demonstrates the challenges associated with the endovascular repair of a condition with an infectious aetiology and highlights the necessity of open repair in complex cases with aberrant vascular anatomy.

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