Equine pericardial roll graft replacement of infected pseudoaneurysm of the ascending aorta

Journal of Cardiothoracic Surgery

Kenichi Sudo¹  Mitsuru Matsukura¹  Yusuke Inaba¹  Yu Takahashi¹  Akihiro Yoshimoto¹  Hiroshi Tsuchiya¹  Mio Noma¹  Hidehito Endo¹  Hiroshi Kubota¹ 

[1] Department of Cardiovascular Surgery, Kyorin University, Tokyo, Japan

关键词: Pseudoaneurysm;    Surgery;    Aortic aneurysm;    Infection;    Biomaterial;    Equine pericardium;   

Others  :  1153179
DOI  :  10.1186/1749-8090-7-54

 received in 2011-12-08, accepted in 2012-05-19,  发布年份 2012

【 摘 要 】

The standard procedure for treating infected aortic aneurysms is to resect the infected aorta, debridement of the surrounding tissue, in situ graft replacement, and omentopexy. However, the question of which graft material is optimal is still a matter of controversy. We recently treated a patient with an infected ascending aortic aneurysm. Because of previous abdominal surgery, the omentum was unavailable. The ascending aorta was replaced in situ with equine pericardial roll grafts. The patient is alive and well 29 months after the operation.

【 授权许可】

   
2012 Kubota et al.; licensee BioMed Central Ltd.

【 图 表 】

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【 参考文献 】

• [1]Vogt P, von Segesser L, Goffin Y, Pasic M, Turina M: Cryopreserved arterial homografts for in situ reconstruction of mycotic aneurysms and prosthetic graft infection. Eur J Cardio-thorac Surg 1995, 9:502-506.
• [2]Vogt P, Pasic M, von Segesser L, Carrel T, Turina M: Cryopreserved aortic homograft for mycotic aneurysms. J Thorac Cardiovasc Surg 1995, 109:589-591.
• [3]Gupta A, Bandyk D, Johnson B: Insitu repair of mycotic abdominal aortic aneurysms with rifampicin-bonded gelatin-impregnated Dacron grafts. J Vasc Surg 1996, 24:472-476.
• [4]Miyamoto S, Hamada T, Tanaka H, Anai H, Sako H, Wada T, Iwata E, Hamamoto H: MRSA aortic valve endocarditis treated by pericardium-lined Dacron patch and vancomycin-containing fibrin glue. Ann Thorac Cardiovasc Surg 2004, 10:252-254.
• [5]Yamamoto H, Yamamoto F, Ishibashi K, et al.: In situ replacement of the thoracic aorta using an equine pericardial roll graft for an aortobronchial fistula due to aortic rupture. Gen Thorac Cardiovasc Surg 2009, 57:413-417.
• [6]Yamamoto H, Yamamoto F, Ishibashi K, et al.: In situ replacement with equine pericardial roll grafts for ruptured infected aneurysms of the abdominal aorta. J Vasc Surg 2009, 49:1041-1045.
• [7]Salles C, Moreira MC, Borem PM, et al.: Aortic reconstruction with crimped bovine pericardial conduits. J Heart Valve Dis 1998, 7:305-312.
• [8]Czerny M, Allen R, Opfermann P, et al.: Self-made pericardial tube graft: a new surgical concept for treatment of graft infections after thoracic and abdominal aortic procedures. Ann Thorac Surg 2011, 92:1657-1662.
• [9]Kubota H, Endo H, Noma M, et al.: Equine pericardial roll graft replacement of infected pseudoaneurysm of the aortic arch. J Cardiothorac Surg 2012, 7:45. BioMed Central Full Text
• [10]Yamamoto H, Yamamoto F, Tanaka F, et al.: Vulnerability of an equine pericardial roll graft to gram-positive cocci after graft replacement for a ruptured infected abdominal aorta. Interact Cardiovasc Thorac Surg 2011, 12:866-868.