We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
327-I XENOPERICARDIAL ROLL GRAFT REPLACEMENT TO TREAT INFECTIOUS PSEUDOANEURYSM OR GRAFT INFECTION OF THORACIC AND THORACO-ABDOMINAL AORTA.
- Authors
Kubota, H.; Endo, H.; Noma, M.; Tsuchiya, H.; Takahashi, Y.; Inaba, Y.; Nishino, Y.; Tsuboi, A.
- Abstract
Objectives: Aortic reconstruction using self-made xenopericardial roll grafts were performed to treat infectious pseudoaneurysms or graft infection. Mid-term results were examined.Methods: From 2009 to 2013, orthotopic xenopericardial roll graft (10 × 10 cm of pericardial sheet made into a cylinder, 3 cm in diameter) replacement was performed for 8 patients. For arch reconstruction, small pericardial roll grafts were also used to replace neck vessels.Results: The results are presented in the Table below.Table of abstract 327-IPt. No.AgePrevious operationOrganismType of operationOmento-pexyIn-hosp. deathFollow- up (months)Recurrence175–NegativeAscendingInitial–No58–279–NegativeArchInitial–No45† (LCa)–363–MRSAThoraco-abdominalInitial–Yes8 POD† (MOF)–472DescendingCandidaDescending (+oesophagectomy)Rescue–No23–555AscendingNegativeAscendingRescue–No22–680–E. coliDescendingInitial–No10–759AscendingMSSAAscendingRescue–No9–873DescendingOral bacillusDescending (+oesophagectomy)Rescue–Yes1 POD† (MOF)–Graft-related complication: stenosis 0, calcification 0, non-infectious pseudoaneurysm of anastomosis 2 (surgical repair 1, thoracic endovascular aortic repair 1). †Survival rate without in-hospital death: 100% but one patient died from lung cancer. LCa, lung cancer; POD, postoperative death; MOF, multiorgan failure.Conclusion: As a non-synthetic material, xenopericardial roll graft replacement is simple and less invasive than the standard procedure. Considering our good results, this procedure may have the potential to serve as one of the choices to treat the graft/aortic infection not only as rescue but also for initial treatment.
- Publication
Interactive Cardiovascular & Thoracic Surgery, 2014, Vol 19, Issue suppl_1, pS97
- ISSN
1569-9293
- Publication type
Article
- DOI
10.1093/icvts/ivu276.327