Repair of mycotic aneurysm of the innominate artery with homograft tissue.
The case of a 46-year-old drug addict who underwent repair of a mycotic aneurysm of the innominate artery with a 12-mm homograft is presented. The homograft was obtained from the descending thoracic position in a young child. Replacement of infected arteries with various artificial grafts risks recurrent infection and anastomotic disruption. The use of a homograft conduit in this case was successful in restoring the appropriate blood flow without infection. We suggest that the homograft conduit can be used in other areas with similar results.
Department of Cardiovascular and Thoracic Surgery, Sutter Memorial Hospital, Sacramento, California.
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Schuch
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Wolff
D000785:Aneurysm, Infected / Q000000981:diagnostic imaging / Q000601:surgery*; D001011:Aorta / Q000637:transplantation*; D016122:Brachiocephalic Trunk / Q000000981:diagnostic imaging / Q000601:surgery; D015925:Cryopreservation; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged; D011859:Radiography; D014184:Transplantation, Homologous