Successful treatment of ascending aortic graft infection after operation for acute aortic dissection with peripheral malperfusion.
Mediastinitis with infection of an ascending aortic graft is hard to heal and is a highly fatal complication. We had a patient in whom mediastinitis with infection of such a graft as well as an ascending aorta-femoral artery bypass graft developed after the initial operation for type A aortic dissection accompanied by peripheral malperfusion. We treated it successfully by inserting a stent into the true lumen of the thoracoabdominal aorta and using a cryopreserved homograft to replace the infected ascending aortic fabric graft.
Kato
Masaaki
M
Department of Surgery, Saitama Medical School, Saitama, Japan. katomasa@saitama-med.ac.jp
Imanaka
Kazuhito
K
Kyo
Shunei
S
Ohuchi
Hiroshi
H
Asano
Haruhiko
H
Takamoto
Shinichi
S
D000208:Acute Disease; D000784:Aortic Dissection / Q000601:surgery*; D001011:Aorta / Q000601:surgery* / Q000637:transplantation; D001014:Aortic Aneurysm / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D020878:Device Removal; D005260:Female; D005263:Femoral Artery / Q000601:surgery; D006801:Humans; D017543:Iliac Aneurysm / Q000601:surgery; D007511:Ischemia / Q000150:complications / Q000601:surgery; D007866:Leg / Q000098:blood supply; D008480:Mediastinitis / Q000209:etiology / Q000628:therapy; D008875:Middle Aged; D016459:Prosthesis-Related Infections / Q000601:surgery*; D012086:Reoperation; D013203:Staphylococcal Infections / Q000628:therapy; D015607:Stents; D014184:Transplantation, Homologous