title: A Case of an Aortic Abscess around the Elephant Trunk.
abstract: A 52-year-old male patient with a history of total arch replacement using the elephant trunk technique for acute aortic dissection 4 years before visited our hospital with the chief complaint of persistent fever. Chest computed tomography (CT) suggested prosthetic vascular graft infection, which was treated surgically after chemotherapy. The first surgery consisted of debridement of an abscess around the vascular graft and in the aorta around the elephant trunk, and thoracic descending aorta replacement and vacuum-assisted closure (VAC) in view of the risk of bleeding from the peripheral region of the elephant trunk. One week later, omental filling was performed as the second step. This is a very rare case of aortic abscess around the elephant trunk that could successfully be managed by graft-conserving treatment.
authors.affiliation: Division of Cardiovascular Surgery, Department of Surgery, School of Medicine, Faculty of Medicine, Toho University, Tokyo, Japan.
authors.forename: Takeshiro
authors.initials: T
authors.lastname: Fujii
authors.forename: Muneyasu
authors.initials: M
authors.lastname: Kawasaki
authors.forename: Tomoyuki
authors.initials: T
authors.lastname: Katayanagi
authors.forename: Shinnosuke
authors.initials: S
authors.lastname: Okuma
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Masuhara
authors.forename: Noritsugu
authors.initials: N
authors.lastname: Shiono
authors.forename: Yoshinori
authors.initials: Y
authors.lastname: Watanabe
mesh_terms: D000038:Abscess / Q000209:etiology*; D000784:Aortic Dissection / Q000601:surgery; D001013:Aorta, Thoracic / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery; D001018:Aortic Diseases / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D054843:Negative-Pressure Wound Therapy; D009852:Omentum / Q000637:transplantation; D011183:Postoperative Complications; D014057:Tomography, X-Ray Computed