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lüll Thoracic endovascular aortic repair as emergency therapy despite suspected aortic infection Stellmes A; Von Allmen R; Derungs U; Dick F; Makaloski V; Do DD; Schmidli J; Czerny MInteract Cardiovasc Thorac Surg 2013[Apr]; 16 (4): 459-64OBJECTIVES: To evaluate thoracic endovascular aortic repair (TEVAR) as emergency therapy despite suspected aortic infection. METHODS: Within a 5-year period, we treated 6 patients with a strategy of primary TEVAR despite suspected aortic infection in patients with symptomatic or already ruptured thoracic aortic pathology. RESULTS: In-hospital mortality was 16.7%. The reason for death was septic multiorgan failure. During follow-up, 2 patients were converted to secondary open surgery in a stable elective setting. The median follow-up was 42.5 months. All surviving patients are not receiving continuing antibiotic therapy. Freedom from infection is 100% to date. CONCLUSIONS: TEVAR as emergency therapy despite suspected aortic infection is feasible and may well serve as a definite treatment option in selected cases. As recurring infection cannot be entirely excluded, life-long clinical and morphological surveillance remains mandatory.|*Blood Vessel Prosthesis Implantation/adverse effects/mortality[MESH]|*Endovascular Procedures/adverse effects/mortality[MESH]|Adult[MESH]|Aged[MESH]|Aged, 80 and over[MESH]|Algorithms[MESH]|Aneurysm, Infected/diagnostic imaging/microbiology/mortality/*surgery[MESH]|Anti-Bacterial Agents/therapeutic use[MESH]|Aorta, Thoracic/diagnostic imaging/microbiology/*surgery[MESH]|Aortic Rupture/diagnostic imaging/microbiology/mortality/*surgery[MESH]|Aortography/methods[MESH]|Emergencies[MESH]|Female[MESH]|Hospital Mortality[MESH]|Humans[MESH]|Kaplan-Meier Estimate[MESH]|Male[MESH]|Middle Aged[MESH]|Multiple Organ Failure/etiology/prevention & control[MESH]|Recurrence[MESH]|Reoperation[MESH]|Sepsis/etiology/prevention & control[MESH]|Time Factors[MESH]|Tomography, X-Ray Computed[MESH]|Treatment Outcome[MESH] |