Extraanatomical ascending-abdominal aorta bypass with stump closure for aortic graft infection
Kei Aizawa 1*,
Shin-ichi Ohki 1,
Hiroaki Konishi 1,
Yoshio Misawa 1
1 Jichi Medical University, Shimotsuke, Japan
* To whom correspondence should be addressed. E-mail: tcvai{at}jichi.ac.jp.
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Abstract |
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A 42-year-old man, who 25 years previously underwent grafting of 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 1 year. Extraanatomical bypass was an effective strategy for treatment of a graft infection. Keywords: Graft infection; Thoracic aorta; Extraanatomical bypass; Omentopexy
