En bloc resection and extended replacement of the infected aortic arch
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Toshinori Totsugawa, MD · Hiroki Takiuchi, MD Masahiko Kuinose, MD · Hidenori Yoshitaka, MD Yoshimasa Tsushima, MD · Atsuhisa Ishida, MD
- چاپ و سال / کشور: 2010
Description
We present the technical details of en bloc resection and extended replacement of an infected aortic arch. A 74-year-old man underwent emergent surgery under a diagnosis of impending rupture of an infected aortic arch aneurysm. The patient’s chest was entered through a median sternotomy with a left thoracotomy at the fourth intercostal space. After dissection of the left phrenic and left recurrent nerves, the infected aortic arch was widely excised en bloc under circulatory arrest with selective cerebral perfusion. It was replaced with a rifampicin- bonded prosthetic graft. The prosthesis and anastomoses were covered with a harvested omental fl ap. Although an appropriate approach and supportive therapy are indispensable, en bloc resection of the infected tissue is an important technique when treating infected aortic aneurysms
Gen Thorac Cardiovasc Surg (2011) 59:418–421 DOI 10.1007/s11748-010-0697-5 Received: 11 July 2010 / Accepted: 22 August 2010
