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Extraanatomical ascending-abdominal aorta bypass with stump closure for aortic graft infection

Department of Cardiovascular Surgery, Jichi Medical University, 3311-1, Yakushiji, Shimotsuke, Tochigi, 329-0498, Japan

*Corresponding author. Tel.: +81 285 587368; fax: +81 285 446271.

E-mail address: tcvai{at}jichi.ac.jp (K. Aizawa).

A 42-year-old man, who 25 years previously underwent grafting of the descending aorta because of traumatic rupture after a traffic accident, was admitted to our hospital complaining of fever and hemoptysis. Computed tomography (CT) scans showed a low density area around the prosthetic graft. We diagnosed a graft infection. We undertook extraanatomical ascending-abdominal aorta bypass with stump closure of the descending aorta, with omentopexy around the stump. Postoperative course was uneventful and he has been free from infection for one year. Extraanatomical bypass was an effective strategy for treatment of a graft infection.

Key Words: Graft infection; Thoracic aorta; Extraanatomical bypass; Omentopexy