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

• 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

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.