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Ann Thorac Surg 2000;70:1410-1412
© 2000 The Society of Thoracic Surgeons

Case report

Successful in situ treatment of an infected ascending aortic graft

David W. Mathes, MDb, Michael J. Yaremchuk, MDb, Eric M. Isselbacher, MDc, Joren C. Madsen, MDa

a Division of Cardiac Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA
b Division of Plastic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA
c Department of Surgery, Division of Cardiology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA

Address reprint requests to Dr Madsen, Department of Surgery, Massachusetts General Hospital, 55 Fruit St, EDR 105, Boston, MA 02114
e-mail: madsen{at}helix.mgh.harvard.edu

Infection of an ascending aortic prosthesis is a grave complication associated with a high mortality. In most cases, extraanatomic bypass and removal of the infected vascular graft are not possible. Furthermore, the standard approach to this problem, which includes excision and replacement or debridement and repair of infected thoracic aortic grafts, carries a high early mortality. We report the successful treatment of this life-threatening complication using a conservative strategy in which the aortic prosthesis was salvaged by in situ disinfection followed by coverage with tissue flaps.




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