Evidence map›Paper›PMID 41313289›Full record

ArticleJACC. Case reports2026

Carotid-Subclavian-Bypass Infection After a Hybrid Approach for Complicated Type-B Aortic Dissection.

Pasqualino Sirignano, Alberto Signore, Miriam Lichtner, Fabio Capuano, Chiara Lauri, Antonino Roscitano, Dario Bello, Luigi Rizzo, Giovanni Melina, Maurizio Taurino

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Pasqualino SirignanoVascular and Endovascular Surgery Unit, Sant'Andrea Hospital of Rome, Department of General and Specialistic Surgery, "Sapienza" University of Rome, Rome, Italy. Electronic address: pasqualino.sirignano@uniroma1.it.
Alberto SignoreNuclear Medicine Unit, Sant'Andrea Hospital of Rome, Department Medical-Surgical Sciences and of Translational Medicine, "Sapienza" University of Rome, Rome, Italy.
Miriam LichtnerInfectious Disease Unit, Sant'Andrea Hospital of Rome, Department of Neurosciences, Mental Health and Sensory Organs, "Sapienza" University of Rome, Rome, Italy.
Fabio CapuanoCardiac Surgery Unit, Sant'Andrea Hospital of Rome, Department of Molecular and Clinical Medicine, "Sapienza" University of Rome, Rome, Italy.
Chiara LauriNuclear Medicine Unit, Sant'Andrea Hospital of Rome, Department Medical-Surgical Sciences and of Translational Medicine, "Sapienza" University of Rome, Rome, Italy.
Antonino RoscitanoCardiac Surgery Unit, Sant'Andrea Hospital of Rome, Department of Molecular and Clinical Medicine, "Sapienza" University of Rome, Rome, Italy.
Dario BelloInfectious Disease Unit, Sant'Andrea Hospital of Rome, Department of Neurosciences, Mental Health and Sensory Organs, "Sapienza" University of Rome, Rome, Italy.
Luigi RizzoVascular and Endovascular Surgery Unit, Sant'Andrea Hospital of Rome, Department of Molecular and Clinical Medicine, "Sapienza" University of Rome, Rome, Italy.
Giovanni MelinaCardiac Surgery Unit, Sant'Andrea Hospital of Rome, Department of Molecular and Clinical Medicine, "Sapienza" University of Rome, Rome, Italy.
Maurizio TaurinoVascular and Endovascular Surgery Unit, Sant'Andrea Hospital of Rome, Department of Molecular and Clinical Medicine, "Sapienza" University of Rome, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHybrid thoracic endovascular aortic repair (TEVAR) is increasingly used for complicated type-B aortic dissection but carries a risk of complications, including infection. CASE SUMMARY: A 57-year-old man underwent hybrid repair with carotid-subclavian bypass (CSB) and TEVAR for complicated type-B aortic dissection. Four months later, he presented with fever and a draining fistula at the CSB site. Imaging and microbiology confirmed methicillin-sensitive Staphylococcus aureus infection. Despite surgical removal of the CSB and reinterventions, including endograft relining and ascending aorta replacement, the patient developed a fatal aorto-esophageal fistula. DISCUSSION: This case illustrates the complexity of diagnosing and managing vascular graft infections after hybrid TEVAR. Literature confirms these infections are rare but often fatal, requiring multimodal imaging and multidisciplinary care. The case also questions routine use of CSB given the emergence of alternative techniques. TAKE-HOME MESSAGES: CSB after hybrid TEVAR is rare but highly lethal. Early diagnosis and aggressive multidisciplinary management are critical.

Indexed as

[(18)F]FDG PET/CTcarotid-left subclavian bypass graftgraft infectionhybrid repairtype-B complicated aortic dissection

Identifiers

PMID41313289
PMCPMC12926186

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.