High resolution computed tomography imaging for individualized allograft replacement of an infected Dacron aortic arch prosthesis.
We report on the case of a young woman with a history of intravenous drug abuse and the development of an infection of a prosthetic supracoronary-, total arch and partial descending aortic allograft prosthesis following acute aortic dissection type Stanford-A two years previously. For surgical treatment we implanted an allograft prosthesis obtained from a local tissue bank. Particular variations in this setting and in comparison to conventional surgical planning were that high resolution computed tomography imaging was applied to determine and subsequently order the optimal allograft prosthesis in this individual patient and anatomical situation.
Wilhelmi
Mathias H
MH
Divison for Cardiothoracic-, Transplantations- and Vascular Surgery, Hannover Medical School, Carl-Neuberg-Str. 1, 30625 Hannover, Germany. Wilhelmi.Mathias@mh-hannover.de
Teebken
Omke E
OE
Pichlmaier
Maximilian A
MA
Haverich
Axel
A
D000328:Adult; D000784:Aortic Dissection / Q000150:complications / Q000601:surgery*; D001011:Aorta / Q000637:transplantation*; D017545:Aortic Aneurysm, Thoracic / Q000150:complications / Q000601:surgery*; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation*; D020878:Device Removal; D005260:Female; D006801:Humans; D011093:Polyethylene Terephthalates; D011474:Prosthesis Design; D016459:Prosthesis-Related Infections / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery*; D015641:Radiography, Interventional; D015819:Substance Abuse, Intravenous / Q000150:complications; D014057:Tomography, X-Ray Computed; D014184:Transplantation, Homologous
D011093:Polyethylene Terephthalates