Aorto-cutaneous fistula of the ascending aorta—case report and a literature review of endovascular management

Gormley, Sinead; Zaman, Zubayr; Mani, Kevin; Khashram, Manar

doi:10.1016/j.jvscit.2022.06.023

Cited by 4 publications

(3 citation statements)

References 15 publications

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“…Dilation of the aorta begins in the brachiocephalic trunk and extends from the descending aorta to the infrarenal abdominal branch. The aortic aneurysm sac was also communicating with the right anterior chest wall, creating an aorto-cutaneous fistula, which is a rare life-threatening condition after aortic surgery 2 , 3 that requires a prompt diagnosis and immediate approach. 2 The cardiothoracic surgeons intended to perform a modified Bentall de Bono procedure; however, surgical procedures were delayed due to the COVID-19 pandemic, and the patient was hospitalized in the ICU with adequate blood pressure and pain control using metoprolol, sodium nitroprusside, and dipyrone.…”

Section: Case Descriptionmentioning

confidence: 99%

“…The aortic aneurysm sac was also communicating with the right anterior chest wall, creating an aorto-cutaneous fistula, which is a rare life-threatening condition after aortic surgery 2 , 3 that requires a prompt diagnosis and immediate approach. 2 The cardiothoracic surgeons intended to perform a modified Bentall de Bono procedure; however, surgical procedures were delayed due to the COVID-19 pandemic, and the patient was hospitalized in the ICU with adequate blood pressure and pain control using metoprolol, sodium nitroprusside, and dipyrone. The patient presented symptoms of COVID-19 in the next few days, was then in critical condition with septic shock and acute kidney failure, suffered a cardiorespiratory arrest, and died 14 days after his admission.…”

Section: Case Descriptionmentioning

confidence: 99%

See 1 more Smart Citation

Aorto-Cutaneous Fistula Due to Stanford a Aortic Dissection Recurrence: Images in Cardiology

Mendonca¹,

Cipullo²,

Souza³

et al. 2023

European Heart Journal - Case Reports

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Section: Case Descriptionmentioning

confidence: 99%

Section: Case Descriptionmentioning

confidence: 99%

Aorto-Cutaneous Fistula Due to Stanford a Aortic Dissection Recurrence: Images in Cardiology

Mendonca¹,

Cipullo²,

Souza³

et al. 2023

European Heart Journal - Case Reports

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“…Data concerning ACFs are scarce. Gormley et al 1 reported 15 cases in a publication combining a case report and a review. All 15 patients had undergone previous cardiac surgery, 10 underwent open surgery, 3 underwent endovascular surgery, and 8 died postoperatively.…”

mentioning

confidence: 99%

Endovascular treatment of an ascending aorta pseudoaneurysm with an aorta-cutaneous fistula by the transapical approach

Canonge,

Majewski,

Touma

et al. 2023

Journal of Vascular Surgery Cases, Innovations and Techniques

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Minimally Invasive Endovascular Repair for Nondissected Ascending Aortic Disease: A Systematic Review

Huo,

He,

Bao

et al. 2023

Emergency Medicine International

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Objective. The aim of this study is to evaluate the efficacy of endovascular treatment for nondissected diseases of the ascending aorta. Data Sources. PubMed, Embase, and SciELO. Review Methods. In this study, we conducted a search on the PubMed, Embase, and SciELO databases for all cases of ascending aortic endovascular repair included in the literature published between January 2007 and July 2023, excluding type A aortic dissection. We reviewed 56 case reports and 7 observational studies included in this study, assessing the techniques, equipment, procedural steps, and results. We summarized the age, complications, follow-up time, and access route. Results. This study includes 63 articles reporting 105 patients (mean age: 64.96 ± 17.08 years) who received endovascular repair for nondissected ascending aortic disease. The types of disease include aneurysm (N = 16), pseudoaneurysm (N = 71), penetrating aortic ulcer (N = 10), intramural hematoma (N = 2), thrombosis (N = 2), iatrogenic coarctation (N = 1), and rupture of the aorta (N = 3). The success rate of surgery is 99.05% (104/105). Complications include endoleak (10.48%, 11/105), stroke (5.71%, 6/105), postoperative infection (1.91%, 2/105), acute renal failure (0.95%, 1/105), aortic rupture (0.95%, 1/105), thrombosis (0.95%, 1/105), and splenic infarction (0.95%, 1/105). Five patients required conversion to open surgery, two patients underwent endovascular reintervention, and four of these five patients underwent surgery due to endoleak. Early mortality was 2.86% (3/105). Conclusion. While the viability and results of endovascular repair for the treatment of ascending aortic disease are acknowledged in some circumstances, further research is needed to determine the safety and effectiveness of endovascular treatment for ascending aortic disease.

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Aorto-cutaneous fistula of the ascending aorta—case report and a literature review of endovascular management

Cited by 4 publications

References 15 publications

Aorto-Cutaneous Fistula Due to Stanford a Aortic Dissection Recurrence: Images in Cardiology

Aorto-Cutaneous Fistula Due to Stanford a Aortic Dissection Recurrence: Images in Cardiology

Endovascular treatment of an ascending aorta pseudoaneurysm with an aorta-cutaneous fistula by the transapical approach

Minimally Invasive Endovascular Repair for Nondissected Ascending Aortic Disease: A Systematic Review

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