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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.


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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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  1. Ross D. Application of homografts in clinical surgery J Cardiac Surg 1987;1:1775-1783(Suppl).
  2. O'Brien MF, Stafford EG, Gardner MF, Pohlner PG, McGiffin DC. A comparison of aortic valve replacement with viable cryopreserved and fresh allograft valves, with a note on chromosomal studies J Thorac Cardiovasc Surg 1987;94:812-823.[Abstract]
  3. Karp RB. The use of free-hand unstented aortic valve allografts for replacement of the aortic valve J Cardiac Surg 1986;1:23-32.[Medline]
  4. Kirklin JK, Kirklin JW, Pacifico AD. Homograft replacement of aortic valve Cardiol Clin 1985;3:329-341.



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This Article
Right arrow Abstract Freely available
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Google Scholar
Right arrow Articles by Schuch, D.
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Right arrow Articles by Schuch, D.
Right arrow Articles by Wolff, L.