A Case of Endovascular Graft Infection Due to Aortic Dissection and Aortoesophgeal Fistula after Thoracic Endovascular Aortic Repair

Abstract

We report a rare case of endovascular graft infection due to aortic dissection and aortoesophageal fistula after thoracic endovascular aortic repair. An 80-year-old man had type B aortic dissection, 2 weeks after endoluminal stent graft placement for aneurysm of descending thoracic aorta. Because of his age, abdominal angina, and dilatation of false lumen, we selected endovascular repair. The patient suffered bacteremia with MSSA and type A aortic dissection with thrombotic false lumen, 25 days after re-endovascular repair. We performed ascending aorta replacement. However, the patient died from septic shock and multiple organ failure due to aortoesophageal fistula and secondary endovascular graft infection.