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

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 debride...

Descripción completa

Detalles Bibliográficos
Autores principales: Diab, Nawras, Pingpoh, Clarence, Siepe, Matthias, Beyersdorf, Friedhelm, Kharabish, Ahmed, Czerny, Martin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Georg Thieme Verlag KG 2018
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5864521/
https://www.ncbi.nlm.nih.gov/pubmed/29577003
http://dx.doi.org/10.1055/s-0038-1636940
_version_ 1783308530877464576
author Diab, Nawras
Pingpoh, Clarence
Siepe, Matthias
Beyersdorf, Friedhelm
Kharabish, Ahmed
Czerny, Martin
author_facet Diab, Nawras
Pingpoh, Clarence
Siepe, Matthias
Beyersdorf, Friedhelm
Kharabish, Ahmed
Czerny, Martin
author_sort Diab, Nawras
collection PubMed
description 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.
format Online
Article
Text
id pubmed-5864521
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher Georg Thieme Verlag KG
record_format MEDLINE/PubMed
spelling pubmed-58645212018-03-23 Emergency Repair of a Perforated Mycotic Aneurysm with a Self-made Pericardial Tube-graft Diab, Nawras Pingpoh, Clarence Siepe, Matthias Beyersdorf, Friedhelm Kharabish, Ahmed Czerny, Martin Thorac Cardiovasc Surg Rep 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. Georg Thieme Verlag KG 2018-01 2018-03-22 /pmc/articles/PMC5864521/ /pubmed/29577003 http://dx.doi.org/10.1055/s-0038-1636940 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Diab, Nawras
Pingpoh, Clarence
Siepe, Matthias
Beyersdorf, Friedhelm
Kharabish, Ahmed
Czerny, Martin
Emergency Repair of a Perforated Mycotic Aneurysm with a Self-made Pericardial Tube-graft
title Emergency Repair of a Perforated Mycotic Aneurysm with a Self-made Pericardial Tube-graft
title_full Emergency Repair of a Perforated Mycotic Aneurysm with a Self-made Pericardial Tube-graft
title_fullStr Emergency Repair of a Perforated Mycotic Aneurysm with a Self-made Pericardial Tube-graft
title_full_unstemmed Emergency Repair of a Perforated Mycotic Aneurysm with a Self-made Pericardial Tube-graft
title_short Emergency Repair of a Perforated Mycotic Aneurysm with a Self-made Pericardial Tube-graft
title_sort emergency repair of a perforated mycotic aneurysm with a self-made pericardial tube-graft
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5864521/
https://www.ncbi.nlm.nih.gov/pubmed/29577003
http://dx.doi.org/10.1055/s-0038-1636940
work_keys_str_mv AT diabnawras emergencyrepairofaperforatedmycoticaneurysmwithaselfmadepericardialtubegraft
AT pingpohclarence emergencyrepairofaperforatedmycoticaneurysmwithaselfmadepericardialtubegraft
AT siepematthias emergencyrepairofaperforatedmycoticaneurysmwithaselfmadepericardialtubegraft
AT beyersdorffriedhelm emergencyrepairofaperforatedmycoticaneurysmwithaselfmadepericardialtubegraft
AT kharabishahmed emergencyrepairofaperforatedmycoticaneurysmwithaselfmadepericardialtubegraft
AT czernymartin emergencyrepairofaperforatedmycoticaneurysmwithaselfmadepericardialtubegraft

Ejemplares similares