Management of a thoracic endograft infection through an ascending to descending extra-anatomic aortic bypass and endograft explantation
نویسندگان
چکیده
منابع مشابه
Ascending-to-descending aortic extra-anatomic graft.
A 71-year-old woman with isthmic aortic coarctation underwent aortic valve replacement and coronary bypass. Before aortic clamping, end-to-side anastomosis to descending aorta was performed. After cardiac surgery, the graft was directed posterior to the inferior vena cava and anastomosed to the ascending aorta by using a side-biting clamp (Fig. 1). Fig. 1. Three-dimensional computed tomographic...
متن کاملPatent Extra-Anatomic Graft 12 Years after Ascending-Descending Aortic Bypass for Interpositional Graft Infection
A male car driver who sustained polytrauma in a road traffic accident when he was 25 years old, had emergency partial hepatectomy performed for liver laceration, followed by interpositional graft (18 mm woven Dacron) repair for transection of the proximal descending aorta via a left thoracotomy. He also had multiple fractures which were treated conservatively. His postoperative recovery was com...
متن کاملUnexpected thoracic endograft infection following a colorectal procedure
Infection of endovascular stent-grafts is a severe complication, but not often reported. We report herein a case of a 61-year-old man presented with pneumonia-like symptoms 24 days after receiving laparoscopic resection of stage 1 sigmoid cancer. Acute pneumonitis and cancer recurrence were excluded on Ga-67 citrate imaging. An infected endovascular graft of the aortic arch, which had been plac...
متن کاملDirect videoscopic approach to the descending thoracic aorta for aortic arch endograft delivery: evaluation in a porcine model.
PURPOSE To examine the feasibility of a direct videoscopic approach to the descending thoracic aorta for endograft delivery to the aortic arch. METHODS A double purse-string suture was placed on the aorta of 3 pigs via a thoracoscopic approach. Subsequently, the aorta was cannulated in the center of the purse-string. A 22-F delivery catheter was advanced under fluoroscopic control over a guid...
متن کاملCurrent Status of Treatment of Aortic Endograft Infection
The widespread use of endovascular aortic aneurysm repair (EVAR) has been accompanied by an increase in need to surgically treat infectious complications of aortic stent-grafts. Although this indication remains somewhat uncommon in most centers, the incidence of stent-graft infections ranges from 1% to 3% in small retrospective series [1,2]. Graft infection can occur as a primary event from ski...
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ژورنال
عنوان ژورنال: Journal of Vascular Surgery
سال: 2010
ISSN: 0741-5214
DOI: 10.1016/j.jvs.2009.07.097