Carotid-Carotid Transposition for Zone 1 Thoracic Endovascular Aortic Repair

Aru, Roberto G.; Tyagi, Suresh C.; Minion, David J.; Orr, Nathan; Bounds, Michael C.

doi:10.1016/j.avsg.2021.04.025

Cited by 2 publications

(1 citation statement)

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“…The initial symptoms are generally secondary to an aortic dissection or rupture that follows hypertension, Marfan syndrome, and Turner syndrome, often being the leading cause of death. 8 While endovascular stent grafts have significantly reduced the TAA death rate, some patients with this diagnosis die due to a postoperative infection. 9 …”

Section: Introductionmentioning

confidence: 99%

Uncorrected Preoperative Infection Causing the Death of a Patient with a Thoracic Aortic Aneurysm

He¹,

Qiu²,

Wang³

et al. 2023

IDR

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Background A thoracic aortic aneurysm (TAA) is a known condition seen in cardiovascular practice. A TAA rupture and postoperative infection may result in death. Preoperative infections leading to death are extremely rare. Case Study A 62-year-old Chinese female was admitted to The First Hospital of Hebei Medical University with a two-day history of abdominal pain. She was diagnosed with a TAA rupture and underwent immediate surgery. The preoperative urine analysis indicated that the positive bacteria and white blood cell count suggested a urinary tract bacterial infection. The patient was administered the empiric antibiotics, cefazolin; however, her blood pressure continued to drop during the perioperative period and she died of uncorrectable acidosis 8 h after the operation. On the second day after death, both the blood and urine cultures were positive for Pseudomonas aeruginosa . Conclusion Given that this patient with a TAA rupture died of uncorrected acidosis caused by preoperative infection, it is important to evoke the diagnosis in the context of TAA. Routine laboratory indicators are valuable factors for surgeons and physicians in assessing a patient’s condition and improving their prognosis.

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Section: Introductionmentioning

confidence: 99%