Anterolateral Partial Sternotomy for Treatment of Graft Infection with Fungal Vegetation on the Frozen Elephant Trunk: A Case Report

A 49-year-old man, who had undergone total arch replacement (TAR) with frozen elephant trunk (FET) technique for type A acute aortic dissection, was subsequently transferred to our hospital for uncontrollable infection. Since multiple blood cultures were positive for Candida parapsilosis and transes...

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Autores principales: Tsujimoto, Takanori, Omura, Atsushi, Inoue, Takeshi, Chomei, Syunya, Hamaguchi, Mari, Inoue, Taishi, Nakai, Hidekazu, Yamanaka, Katsuhiro, Okada, Kenji
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8752929/
https://www.ncbi.nlm.nih.gov/pubmed/35082950
http://dx.doi.org/10.3400/avd.cr.21-00072
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author Tsujimoto, Takanori
Omura, Atsushi
Inoue, Takeshi
Chomei, Syunya
Hamaguchi, Mari
Inoue, Taishi
Nakai, Hidekazu
Yamanaka, Katsuhiro
Okada, Kenji
author_facet Tsujimoto, Takanori
Omura, Atsushi
Inoue, Takeshi
Chomei, Syunya
Hamaguchi, Mari
Inoue, Taishi
Nakai, Hidekazu
Yamanaka, Katsuhiro
Okada, Kenji
author_sort Tsujimoto, Takanori
collection PubMed
description A 49-year-old man, who had undergone total arch replacement (TAR) with frozen elephant trunk (FET) technique for type A acute aortic dissection, was subsequently transferred to our hospital for uncontrollable infection. Since multiple blood cultures were positive for Candida parapsilosis and transesophageal echocardiography revealed vegetation attached to the FET, he was diagnosed with a graft infection. In addition, on the 18-fluorodeoxyglucose positron emission tomography scans, high uptake lesions were found around the quadrifurcated graft as well as the FET. Therefore, an extensive TAR through anterolateral thoracotomy with partial sternotomy was performed to remove all infected prothesis. Consequently, the patient completely recovered.
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spelling pubmed-87529292022-01-25 Anterolateral Partial Sternotomy for Treatment of Graft Infection with Fungal Vegetation on the Frozen Elephant Trunk: A Case Report Tsujimoto, Takanori Omura, Atsushi Inoue, Takeshi Chomei, Syunya Hamaguchi, Mari Inoue, Taishi Nakai, Hidekazu Yamanaka, Katsuhiro Okada, Kenji Ann Vasc Dis Case Report A 49-year-old man, who had undergone total arch replacement (TAR) with frozen elephant trunk (FET) technique for type A acute aortic dissection, was subsequently transferred to our hospital for uncontrollable infection. Since multiple blood cultures were positive for Candida parapsilosis and transesophageal echocardiography revealed vegetation attached to the FET, he was diagnosed with a graft infection. In addition, on the 18-fluorodeoxyglucose positron emission tomography scans, high uptake lesions were found around the quadrifurcated graft as well as the FET. Therefore, an extensive TAR through anterolateral thoracotomy with partial sternotomy was performed to remove all infected prothesis. Consequently, the patient completely recovered. Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2021-12-25 /pmc/articles/PMC8752929/ /pubmed/35082950 http://dx.doi.org/10.3400/avd.cr.21-00072 Text en © 2021 The Editorial Committee of Annals of Vascular Diseases. https://creativecommons.org/licenses/by/2.5/This article is distributed under the terms of the Creative Commons Attribution License, which permits use, distribution, and reproduction in any medium, provided the credit of the original work, a link to the license, and indication of any change are properly given, and the original work is not used for commercial purposes. Remixed or transformed contributions must be distributed under the same license as the original.
spellingShingle Case Report
Tsujimoto, Takanori
Omura, Atsushi
Inoue, Takeshi
Chomei, Syunya
Hamaguchi, Mari
Inoue, Taishi
Nakai, Hidekazu
Yamanaka, Katsuhiro
Okada, Kenji
Anterolateral Partial Sternotomy for Treatment of Graft Infection with Fungal Vegetation on the Frozen Elephant Trunk: A Case Report
title Anterolateral Partial Sternotomy for Treatment of Graft Infection with Fungal Vegetation on the Frozen Elephant Trunk: A Case Report
title_full Anterolateral Partial Sternotomy for Treatment of Graft Infection with Fungal Vegetation on the Frozen Elephant Trunk: A Case Report
title_fullStr Anterolateral Partial Sternotomy for Treatment of Graft Infection with Fungal Vegetation on the Frozen Elephant Trunk: A Case Report
title_full_unstemmed Anterolateral Partial Sternotomy for Treatment of Graft Infection with Fungal Vegetation on the Frozen Elephant Trunk: A Case Report
title_short Anterolateral Partial Sternotomy for Treatment of Graft Infection with Fungal Vegetation on the Frozen Elephant Trunk: A Case Report
title_sort anterolateral partial sternotomy for treatment of graft infection with fungal vegetation on the frozen elephant trunk: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8752929/
https://www.ncbi.nlm.nih.gov/pubmed/35082950
http://dx.doi.org/10.3400/avd.cr.21-00072
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