title: [Redo ascending aorta replacement using a homograft for graft infection caused by methicillin-resistant Staphylococcus aureus; report of an emergently air-transferred case just after Great East Japan Earthquake].
abstract: We describe a case of replacement with a cryopreserved homograft for graft infection. A 48-year-old man had been performed ascending aorta replacement using woven dacron graft for type A aortic dissection. Two months ago, methicillin-resistant Staphylococcus aureus infection was suspected because of high-grade fever. Computed tomography (CT) scan revealed abscess formation around the prosthetic graft and redo operation using cryopreserved homograft was scheduled to avoid re-infection into mediastinum at Tohoku University Hospital, an institute cooperating with University of Tokyo tissue bank. However, Catastrophic Great East Japan Earthquake occurred the day before the scheduled date, and the patient could not have an operation at the institution. He was transferred to our hospital by helicopter. Then homograft was successfully implanted in ascending aorta after complete excision of infectious graft.
authors.affiliation: Department of Surgery II, Yamagata University School of Medicine, Yamagata, Japan.
authors.forename: Ken
authors.initials: K
authors.lastname: Nakamura
authors.forename: Tetsuro
authors.initials: T
authors.lastname: Uchida
authors.forename: Yukihiro
authors.initials: Y
authors.lastname: Yoshimura
authors.forename: Cholsu
authors.initials: C
authors.lastname: Kim
authors.forename: Yoshiyuki
authors.initials: Y
authors.lastname: Maekawa
authors.forename: Tadanori
authors.initials: T
authors.lastname: Minagawa
authors.forename: Masahiro
authors.initials: M
authors.lastname: Mizumoto
authors.forename: Atsushi
authors.initials: A
authors.lastname: Yamashita
authors.forename: Mitsuaki
authors.initials: M
authors.lastname: Sadahiro
authors.forename: Yoshikatsu
authors.initials: Y
authors.lastname: Saiki
authors.forename: Shunsuke
authors.initials: S
authors.lastname: Kawamoto
mesh_terms: D000401:Aircraft; D000784:Aortic Dissection / Q000601:surgery; D001011:Aorta / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D055866:Earthquakes; D006801:Humans; D007564:Japan; D008297:Male; D055624:Methicillin-Resistant Staphylococcus aureus; D008875:Middle Aged; D016459:Prosthesis-Related Infections / Q000601:surgery*; D012086:Reoperation; D013203:Staphylococcal Infections / Q000150:complications*; D014184:Transplantation, Homologous; D014187:Transportation of Patients / Q000379:methods*