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Interact CardioVasc Thorac Surg 2008;7:720-721. doi:10.1510/icvts.2007.171819
© 2008 European Association of Cardio-Thoracic Surgery

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Mathias H. Wilhelmi
Omke E. Teebken
Axel Haverich
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Case report - Vascular thoracic

High resolution computed tomography imaging for individualized allograft replacement of an infected Dacron aortic arch prosthesis

Mathias H. Wilhelmi*, Omke E. Teebken, Maximilian A. Pichlmaier and Axel Haverich

Divison for Cardiothoracic-, Transplantations- and Vascular Surgery, Hannover Medical School, Carl-Neuberg-Str. 1, 30625 Hannover, Germany

*Corresponding author. Tel.: +49-511-532-3448; fax: +49-511-532-5404.

E-mail address: Wilhelmi.Mathias{at}mh-hannover.de (M.H. Wilhelmi).

We report on the case of a young woman with a history of intravenous drug abuse and the development of an infection of a prosthetic supracoronary-, total arch and partial descending aortic allograft prosthesis following acute aortic dissection type Stanford-A two years previously. For surgical treatment we implanted an allograft prosthesis obtained from a local tissue bank. Particular variations in this setting and in comparison to conventional surgical planning were that high resolution computed tomography imaging was applied to determine and subsequently order the optimal allograft prosthesis in this individual patient and anatomical situation.

Key Words: Aortic surgery; Homograft; Infection; Aortic arch; Computed tomography







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