Open Repair of Aortic Arch Mycotic Pseudoaneurysms With Distal Perfusion.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 34197827.
- Also identified by DOI 10.1016/j.athoracsur.2021.05.084.
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Abstract
An 80-year-old man presented with a fast expanding 9.5-cm mycotic arch pseudoaneurysm. The right axillary and femoral arteries were cannulated. Through sternotomy, a reverse zone 2 arch replacement was performed with a 28-mm rifampin-soaked Hemashield aortic graft (Maquet, Wayne, NJ) graft with circulatory arrest. A 30-mm Coda balloon (Cook Medical, Bloomington, IN) was used to occlude the descending aorta, and the lower body was perfused through the femoral artery. The infected pseudoaneurysm was débrided and irrigated. A separate 28-mm rifampin-soaked Dacron graft was anastomosed to the proximal-descending aorta. The left subclavian artery was anastomosed to the proximal Dacron graft. Finally, the proximal and distal Dacron grafts were anastomosed together.
Medical subject headings
- Aneurysm, False
- Aortic Aneurysm, Thoracic
- Blood Vessel Prosthesis Implantation