title: Extra-Anatomic Bypass Operation for an Infected Aortic Arch Aneurysm with Broad Mediastinal Abscess: A Case Report.
abstract: We encountered an informative case of infected aortic arch aneurysm. The proximal descending aorta, left common carotid artery, and left subclavian artery were severely involved in an abscess; thus, typical in situ reconstruction of the arch was considered impossible. Therefore, to secure more distal branches appropriate for anastomosis, a modified extra-anatomic arch repair was performed through additional incisions. The patient developed renal and respiratory failure and died of septicemia five and a half months after the operation. However, postoperative computed tomograms demonstrated that the abscess had disappeared.
authors.affiliation: Department of Cardiovascular Surgery, Tenyoukai Central Hospital, Kagoshima, Kagoshima, Japan.
authors.forename: Hironori
authors.initials: H
authors.lastname: Inoue
authors.affiliation: Kimotsuki Town's Hospital, Kimotsuki-gun, Kagoshima, Japan.
authors.forename: Yoshifumi
authors.initials: Y
authors.lastname: Iguro
authors.affiliation: Department of Cardiovascular Surgery, Tenyoukai Central Hospital, Kagoshima, Kagoshima, Japan.
authors.forename: Masahiro
authors.initials: M
authors.lastname: Ueno
authors.affiliation: Department of Cardiovascular Surgery, Tenyoukai Central Hospital, Kagoshima, Kagoshima, Japan.
authors.forename: Keisuke
authors.initials: K
authors.lastname: Yamamoto
keywords: extra-anatomic bypass; infected aortic arch aneurysm