PURPOSE: Standard therapy of @entity5880 in the descending aorta consists of thoracotomy and in situ graft placement or extraanatomic bypass. The alternative use of endovascular stent-grafts was evaluated for management of @entity5880 . MATERIALS AND METHODS: In a retrospective analysis during a 5-year period, 112 @entity1 underwent stent-graft placement for thoracic @entity449 . Three @entity1 (mean age, 68.6; range, 64-70 years) had @entity5880 . Stent-grafts were constructed from Z stents covered with polyester fabric and were delivered remotely through a catheter under fluoroscopic guidance. RESULTS: Complete @entity715 of the @entity5880 was achieved in all @entity1 . One @entity1 required a second separate stent-graft placement procedure because of migration of the initial device; the second @entity1 underwent surgical repair of a ruptured mycotic @entity1028 followed immediately by stent-graft placement for a chronic @entity5880 ; a third @entity1 underwent repair of two infected @entity2849 secondary to complete @entity397 of a surgical interposition graft. There were no complications of persistent @entity2259 despite placement of the stent-graft device at the site of @entity281 , reinfection, delayed @entity397 , @entity451 , @entity999 , or surgical conversion. One @entity1 died of @entity1167 at 25 months; there were no perioperative @entity204 (< or = 30 days). The remaining two @entity1 were alive and well at median follow-up of 24 months (range, 4-25 months). CONCLUSION: Endovascular stent-grafts combined with antibiotic therapy may be an alternative to conventional thoracotomy in managing @entity5880 of the descending thoracic aorta.

XXXX of the thoracic aorta: repair with use of endovascular stent-grafts.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity5880 :: ('MESH:D000785', 'Disease') :: ['mycotic thoracic aneurysms', 'infected aneurysms of the thoracic aorta', 'mycotic thoracic aneurysm', 'mycotic aneurysms'] @entity449 :: ('MESH:D001014', 'Disease') :: ['aortic aneurysms'] @entity451 :: ('MESH:C536857', 'Disease') :: ['paraplegia'] @entity999 :: ('MESH:D020766', 'Disease') :: ['distal emboli'] @entity281 :: ('MESH:D007239', 'Disease') :: ['primary infection'] @entity397 :: ('MESH:D012421', 'Disease') :: ['rupture'] @entity1167 :: ('MESH:D006323', 'Disease') :: ['cardiac arrest'] @entity715 :: ('MESH:D013927', 'Disease') :: ['thrombosis'] @entity204 :: ('MESH:D003643', 'Disease') :: ['deaths'] @entity1028 :: ('MESH:D017544', 'Disease') :: ['abdominal aortic aneurysm'] @entity2849 :: ('MESH:D017541', 'Disease') :: ['false aneurysms'] @entity2259 :: ('MESH:D016470', 'Disease') :: ['bacteremia']
@entity5880 :: (MESH:D000785,Disease) :: ['Mycotic aneurysms']
