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Ann Thorac Surg 1991;52:863-864
© 1991 The Society of Thoracic Surgeons

Articles

Repair of mycotic aneurysm of the innominate artery with homograft tissue

Douglas Schuch, MD*, Larry Wolff, MD

Department of Cardiovascular and Thoracic Surgery and Department of Cardiology, Sutter Memorial Hospital, Sacramento, California USA

Accepted for publication March 1, 1991.

* Address reprint requests to Dr Schuch, 5301 F St, Suite 312, Sacramento, CA 95819.

The case of a 46-year-old drag addict who underwent repair of a mycotic aneurysm of the innominate artery with a 12-mm homograft is presented. The homograft was obtained from the descending thoracic position in a young child. Replacement of infected arteries with various artificial grafts risks recurrent infection and anastomotic disruption. The use of a homograft conduit in this case was successful in restoring the appropriate blood flow without infection. We suggest that the homograft conduit can be used in other areas with similar results.




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