Composite vein graft reconstruction for infected descending aortic prosthesis.
We report a case of successful in situ replacement with a superficial femoropopliteal vein panel graft for Dacron graft infection of the thoracic aorta. A 75-year-old man presented with septicemia and pseudoaneurysm caused by methicillin resistant staphylococcus aureus 2 years after Dacron graft replacement of the mid-descending aortic aneurysm. The patient underwent in situ replacement with a panel graft constructed of 3 deep vein panels after excision of the infected Dacron graft. The patient is free of infection and doing well over 2 years after surgery.
Department of Thoracic and Cardiovascular Surgery, Yokkaichi Municipal Hospital, Yokkaichi, Japan. cvsokamoto@yokkaichihp01.jp
Hiroshi
H
Okamoto
Akinori
A
Tamenishi
Yasumoto
Y
Matsumura
Takao
T
Niimi
D000368:Aged; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D055624:Methicillin-Resistant Staphylococcus aureus; D011093:Polyethylene Terephthalates; D011183:Postoperative Complications / Q000601:surgery*; D016459:Prosthesis-Related Infections / Q000601:surgery*; D012086:Reoperation; D013203:Staphylococcal Infections / Q000601:surgery*; D014680:Veins / Q000637:transplantation*
D011093:Polyethylene Terephthalates