Equine pericardial roll graft replacement of infected pseudoaneurysm of the ascending aorta.
The standard procedure for treating infected aortic aneurysms is to resect the infected aorta, debridement of the surrounding tissue, in situ graft replacement, and omentopexy. However, the question of which graft material is optimal is still a matter of controversy. We recently treated a patient with an infected ascending aortic aneurysm. Because of previous abdominal surgery, the omentum was unavailable. The ascending aorta was replaced in situ with equine pericardial roll grafts. The patient is alive and well 29 months after the operation.
Department of Cardiovascular Surgery, Kyorin University, Tokyo, Japan. kub@ks.kyorin-u.ac.jp
Hiroshi
H
Kubota
Hidehito
H
Endo
Mio
M
Noma
Hiroshi
H
Tsuchiya
Akihiro
A
Yoshimoto
Yu
Y
Takahashi
Yusuke
Y
Inaba
Mitsuru
M
Matsukura
Kenichi
K
Sudo
D000368:Aged; D017541:Aneurysm, False / Q000601:surgery*; D000818:Animals; D001011:Aorta / Q000601:surgery*; D001014:Aortic Aneurysm / Q000601:surgery; D001672:Biocompatible Materials; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation / Q000379:methods; D053821:Cardiovascular Infections / Q000601:surgery*; D006736:Horses; D006801:Humans; D008297:Male; D010496:Pericardium / Q000601:surgery; D014183:Transplantation, Heterologous
D001672:Biocompatible Materials