Emergency Repair of a Perforated Mycotic Aneurysm with a Self-made Pericardial Tube-graft

Emergency Repair of a Perforated Mycotic Aneurysm with a Self-made Pericardial Tube-graft

A 63-year-old female with a history of kidney transplantation was admitted for emergency repair of a perforated mycotic aneurysm of the right subclavian artery (RSA) in combination with a paravertebral and posterior mediastinal abscess. After resection of the aneurysm and after radical local debride...

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Bibliographic Details
Main Authors: Nawras Diab, Clarence Pingpoh, Matthias Siepe, Friedhelm Beyersdorf, Ahmed Kharabish, Martin Czerny
Format: Article
Language:English
Published: Georg Thieme Verlag KG 2018-01-01
Series:The Thoracic & Cardiovascular Surgeon Reports
Subjects:
aneurysm
cardiovascular surgery
thoracic surgery
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1636940
Description
Summary:A 63-year-old female with a history of kidney transplantation was admitted for emergency repair of a perforated mycotic aneurysm of the right subclavian artery (RSA) in combination with a paravertebral and posterior mediastinal abscess. After resection of the aneurysm and after radical local debridement, orthotopic repair was performed with a self-made pericardial tube graft from the brachiocephalic bifurcation to the thoracic outlet. The paravertebral and posterior mediastinal abscess was drained. The postoperative course was uneventful. Using a self-made readily available pericardial neo-tube enlarges the armamentarium of handling complex infective surgical scenarios and presents a smart alternative to alloplastic vascular reconstruction.
ISSN:2194-7635
2194-7643

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