title: Staged hybrid treatment of ascending aorta aneurysm post cardiac surgery.
abstract: We describe the management of ascending aorta aneurysm following a recurrent sternotomy wound infection in 2 male patients. The patients had undergone cardiac surgery using cardiopulmonary bypass with late complications of chronic sternal wound infection and saccular aneurysm at the aortic cannulation site. In both patients, following a multidisciplinary approach, a customized stent graft was implanted endovascularly into the ascending aorta to seal the aneurysm orifice followed by resternotomy, repair of the aneurysm and omentopexy. Both patients' postoperative course was uneventful.
authors.affiliation: Department of Cardiothoracic Surgery, Royal Infirmary of Edinburgh, Edinburgh, UK.
authors.forename: Kasra
authors.initials: K
authors.lastname: Shaikhrezai
authors.forename: Prakash
authors.initials: P
authors.lastname: Nanjaiah
authors.forename: Susan M
authors.initials: SM
authors.lastname: Ingram
authors.forename: Edward T
authors.initials: ET
authors.lastname: Brackenbury
mesh_terms: D000368:Aged; D000785:Aneurysm, Infected / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D001014:Aortic Aneurysm / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D001027:Aortography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D012086:Reoperation; D056346:Sternotomy / Q000009:adverse effects*; D013530:Surgical Wound Infection / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: Aortic aneurysm; Aortic operation; Endovascular procedures/stents; Sternotomy wound infection