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After antibiotic treatment, she underwent left carotid\u2013subclavian transposition and endovascular repair with thoracic branched endograft (TBE) with left carotid artery coverage. Three months postoperatively, she developed endograft infection, with a rapidly enlarging pseudoaneurysm at the proximal landing zone. She underwent TBE explant and descending thoracic aortic reconstruction. This report illustrates a rare complication and the first described surgical TBE explantation.<\/jats:p>","DOI":"10.1093\/icvts\/ivaf073","type":"journal-article","created":{"date-parts":[[2025,3,23]],"date-time":"2025-03-23T12:07:45Z","timestamp":1742731665000},"source":"Crossref","is-referenced-by-count":1,"title":["First reported surgical explantation of infected thoracic branched endograft requiring complex arch and descending thoracic aortic repair"],"prefix":"10.1093","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8656-6352","authenticated-orcid":false,"given":"Michael A","family":"Catalano","sequence":"first","affiliation":[{"name":"Division of Cardiac Surgery, Department of Surgery, Hospital of the University of Pennsylvania , Philadelphia, PA,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cecillia","family":"Chin","sequence":"additional","affiliation":[{"name":"Division of Cardiac Surgery, Department of Surgery, Hospital of the University of Pennsylvania , Philadelphia, PA,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nimesh D","family":"Desai","sequence":"additional","affiliation":[{"name":"Division of Cardiac Surgery, Department of Surgery, Hospital of the University of Pennsylvania , Philadelphia, PA,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kendall M","family":"Lawrence","sequence":"additional","affiliation":[{"name":"Division of Cardiac Surgery, Department of Surgery, Hospital of the University of Pennsylvania , Philadelphia, PA,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,3,22]]},"reference":[{"key":"2025042217472533000_ivaf073-B1","doi-asserted-by":"crossref","first-page":"1061","DOI":"10.1016\/j.jvs.2014.07.012","article-title":"Comparison of treatment strategies for thoracic endograft infection","volume":"60","author":"Moulakakis","year":"2014","journal-title":"J Vasc Surg"},{"key":"2025042217472533000_ivaf073-B2","doi-asserted-by":"crossref","first-page":"639","DOI":"10.1016\/j.ejvs.2022.08.003","article-title":"Midterm outcomes of endovascular repair of aortic arch aneurysms with the gore thoracic branch endoprosthesis","volume":"64","author":"Liang","year":"2022","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"2025042217472533000_ivaf073-B3","doi-asserted-by":"crossref","first-page":"1941","DOI":"10.1016\/j.jvs.2018.10.108","article-title":"A systematic review of infected descending thoracic aortic grafts and endografts","volume":"69","author":"Kahlberg","year":"2019","journal-title":"J Vasc Surg"},{"key":"2025042217472533000_ivaf073-B4","doi-asserted-by":"crossref","first-page":"e357","DOI":"10.1016\/j.athoracsur.2020.03.079","article-title":"Explantation of an infected TEVAR with an extra-anatomic arch reconstruction along the right heart","volume":"110","author":"Rabenstein","year":"2020","journal-title":"Ann Thorac Surg"},{"key":"2025042217472533000_ivaf073-B5","doi-asserted-by":"crossref","first-page":"658","DOI":"10.1111\/jocs.13792","article-title":"Management of thoracic aortic graft infections","volume":"33","author":"Bianco","year":"2018","journal-title":"J Card Surg"}],"container-title":["Interdisciplinary CardioVascular and Thoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/icvts\/advance-article-pdf\/doi\/10.1093\/icvts\/ivaf073\/62523913\/ivaf073.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/icvts\/article-pdf\/40\/4\/ivaf073\/62523913\/ivaf073.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/icvts\/article-pdf\/40\/4\/ivaf073\/62523913\/ivaf073.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,22]],"date-time":"2025-04-22T21:47:36Z","timestamp":1745358456000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/icvts\/article\/doi\/10.1093\/icvts\/ivaf073\/8090449"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,22]]},"references-count":5,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,3,29]]}},"URL":"https:\/\/doi.org\/10.1093\/icvts\/ivaf073","relation":{},"ISSN":["2753-670X"],"issn-type":[{"type":"electronic","value":"2753-670X"}],"subject":[],"published-other":{"date-parts":[[2025,4]]},"published":{"date-parts":[[2025,3,22]]},"article-number":"ivaf073"}}