# Aortic rupture during transcatheter aortic valve replacement requiring emergent thoracic endovascular aortic repair and endograft infection requiring endograft explant

## TL;DR

A patient experienced aortic rupture during a heart valve procedure and later developed a life-threatening infection requiring multiple surgeries.

## Contribution

This case report highlights the rare and complex complications of TEVAR and their management.

## Key findings

- Aortic rupture during transcatheter aortic valve replacement led to TEVAR.
- The patient developed TEVAR infection, endocarditis, and aortobronchial fistula.
- The patient underwent TEVAR explantation, aortic valve replacement, and aortic reconstruction.

## Abstract

Infection of endografts after thoracic endovascular aortic repair (TEVAR) is a catastrophic complication with dramatically high morbidity and mortality. We present the case of a 58-year-old gentleman who underwent TEVAR for aortic rupture during transcatheter aortic valve replacement, later presenting with TEVAR infection, endocarditis, and aortobronchial fistula who underwent TEVAR explantation, aortic valve replacement, and aortic reconstruction. The patient consented to publication of his operative course.