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Kazuhito Imanaka
Shunei Kyo
Hiroshi Ohuchi
Shinichi Takamoto
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Ann Thorac Surg 2004;77:2194-2195
© 2004 The Society of Thoracic Surgeons

Case report

Successful treatment of ascending aortic graft infection after operation for acute aortic dissection with peripheral malperfusion

Masaaki Kato, MDa*, Kazuhito Imanaka, MDa, Shunei Kyo, MDa, Hiroshi Ohuchi, MDa, Haruhiko Asano, MDa, Shinichi Takamoto, MDb

a Division of Cardiovascular Surgery, Department of Surgery, Saitama Medical School, Saitama, Japan
b Department of Thoracic and Cardiovascular Surgery, Graduate School of Medicine and Faculty of Medicine, University of Tokyo, Tokyo, Japan

Accepted for publication June 6, 2003.

* Address reprint requests to Dr Kato, Division of Cardiovascular and Thoracic Surgery, Department of Surgery, Saitama Medical School, 38 Morohonngou Moroyama-chou Irima-gunn, Saitama 350-0495, Japan
e-mail: katomasa{at}saitama-med.ac.jp

Mediastinitis with infection of an ascending aortic graft is hard to heal and is a highly fatal complication. We had a patient in whom mediastinitis with infection of such a graft as well as an ascending aorta–femoral artery bypass graft developed after the initial operation for type A aortic dissection accompanied by peripheral malperfusion. We treated it successfully by inserting a stent into the true lumen of the thoracoabdominal aorta and using a cryopreserved homograft to replace the infected ascending aortic fabric graft.




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 J. Thorac. Cardiovasc. Surg.Home page
S. A. LeMaire and J. S. Coselli
Options for managing infected ascending aortic grafts.
J. Thorac. Cardiovasc. Surg., October 1, 2007; 134(4): 839 - 843.
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