Infectious pseudoaneurysm at the proximal edge of the endograft, after hybrid aortic arch repair

Abstract

A 77-year old woman who underwent hybrid aortic arch repair using a Gore-TAG (Gore-Associates, Flagstaff, AZ, USA) endograft (Fig. 1A) complained of chest pain 5 months after operation. Blood cultures revealed Serratia marcescens. Computed tomography (CT) demonstrated dislocation of the endograft with formation of a pseudoaneurysm (Fig. 1B). Ascending aorta replacement with re-debranching was emergently performed (Fig. 2).