Palliative stent-graft insertion followed by an allograft replacement for an infected and ruptured aortic aneurysm.
We report a surgical case of infected thoracic aortic aneurysm. Before arrival of the cryopreserved aortic allograft, the patient had hemoptysis resulting from aneurysm rupture. Therefore endovascular stent grafting was urgently performed three days prior to in situ allograft implantation. Palliative stent grafting prevented circulatory collapse and stabilized the patient until successful allograft implantation.
Inoue
Hironori
H
Department of Thoracic, Cardiovascular and Hepato-biliary-pancreatic Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Japan.
Iguro
Yoshifumi
Y
Yamamoto
Hiroyuki
H
Ueno
Masahiro
M
Higashi
Akihiro
A
Tao
Koji
K
Yotsumoto
Daisuke
D
Sakata
Ryuzo
R
D000368:Aged; D000785:Aneurysm, Infected / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D015901:Angiography, Digital Subtraction; D001011:Aorta / Q000637:transplantation*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D001019:Aortic Rupture / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation*; D015925:Cryopreservation; D020878:Device Removal; D006469:Hemoptysis / Q000382:microbiology; D006801:Humans; D008297:Male; D010166:Palliative Care; D011474:Prosthesis Design; D012086:Reoperation; D012475:Salmonella / Q000302:isolation & purification; D012769:Shock / Q000382:microbiology / Q000517:prevention & control; D015607:Stents; D014057:Tomography, X-Ray Computed; D014184:Transplantation, Homologous; D016896:Treatment Outcome