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Vascular and Endovascular Surgery
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Combined Endovascular and Open Treatment for Infected Pseudoaneurysm of the Thoracic Aortic Arch

Kwok Keung Ho, MBBS, FRCS

the Department of Cardiothoracic Surgery, Queen Elizabeth Hospital, Hong Kong

Philip Chong-hei Kwok, MSc, FRCR

Department of Radiology and Imaging Queen Elizabeth Hospital, Hong Kong, pchkwok{at}ha.org.hk

Shiu Shek Chung, MBBS, FRCS

the Department of Cardiothoracic Surgery, Queen Elizabeth Hospital, Hong Kong

Wong Kan Wong, MBBS, FRCR

Department of Radiology and Imaging Queen Elizabeth Hospital, Hong Kong

Infected pseudoaneurysm of the aortic arch is a rare but life-threatening condition. The conventional treatment involves cardiopulmonary bypass, prolonged vascular clamping, and an extensive bypass procedure. We report a case of infected pseudoaneurysm involving the aortic arch. The patient underwent debranching of the supra-aortic arteries and bypass surgery, followed by stent grafting the next day. The patient had good recovery, and the 1-year follow-up computed tomography scan showed resolution of the infected pseudoaneurysm.

Key Words: aneurysm • infected • stents • blood vessel prosthesis

Vascular and Endovascular Surgery, Vol. 41, No. 5, 456-459 (2007)
DOI: 10.1177/1538574407302851
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