Emergency Repair of a Perforated Mycotic Aneurysm with a Self-made Pericardial Tube-graft

THORAC CARDIOV SURG Reports 2018; 07: e9-e11
DOI: 10.1055/s-0038-1636940

A 63-year-old female with a history of kidney transplantation was admitted for emergency repair of a perforated mycotic aneurysm of the right subclavian artery (RSA) in combination with a paravertebral and posterior mediastinal abscess. After resection of the aneurysm and after radical local debridement, orthotopic repair was performed with a self-made pericardial tube graft from the brachiocephalic bifurcation to the thoracic outlet. The paravertebral and posterior mediastinal abscess was drained. The postoperative course was uneventful. Using a self-made readily available pericardial neo-tube enlarges the armamentarium of handling complex infective surgical scenarios and presents a smart alternative to alloplastic vascular reconstruction.
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Georg Thieme Verlag KG Stuttgart · New York

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