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Published on April 21, 2008
Interactive CardioVascular and Thoracic Surgery 2008, doi:10.1510/icvts.2007.171819
© 2008 European Association of Cardio-Thoracic Surgery

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Vascular thoracic

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

Mathias H. Wilhelmi 1*, Omke E. Teebken 1, Axel Haverich 1, A. Max Pichlmaier 1

1 Hannover Medical School, Germany

* To whom correspondence should be addressed. E-mail: mathiaswilhelmi{at}gmx.de.


   Abstract
We report on the case of a young woman with the 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. Keywords: Aortic surgery; Homograft; Infection; Aortic arch; Computed tomography





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