title: Extra-anatomic management of homograft reinfection after thoracic aortic rupture.
abstract: Vascular graft infections involving the thoracic aorta have high morbidity and mortality rates. The management of homograft reinfection has not been discussed yet. A 23-year-old woman suffered a rupture of the descending thoracic aorta. Seven months after interposition of a Dacron graft she was readmitted for graft infection and a homograft was inserted. An esophageal lesion was oversewn. Follow-up CT showed several aneurysms around the homograft. She underwent implantation of an extra-anatomic ascending-descending aorta Dacron bypass with stump closure of the descending aorta. The patient is alive and free from reinfection seven years later.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, University Duisburg-Essen, Essen, Germany. ivan.aleksic@uni-essen.de
authors.forename: I
authors.initials: I
authors.lastname: Aleksic
authors.forename: R
authors.initials: R
authors.lastname: Leyh
authors.forename: B
authors.initials: B
authors.lastname: Schorn
mesh_terms: D000328:Adult; D001013:Aorta, Thoracic / Q000637:transplantation; D001019:Aortic Rupture / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D013504:Cardiovascular Surgical Procedures / Q000379:methods; D005260:Female; D006801:Humans; D016459:Prosthesis-Related Infections / Q000601:surgery*; D012086:Reoperation; D019616:Thoracic Surgical Procedures / Q000379:methods; D014184:Transplantation, Homologous / Q000009:adverse effects