Organ Protection for Radical Debridement to Prevent Recurrence of Infection after Zone 1 Thoracic Endovascular Aortic Aneurysm Repair: A Case Report
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- Koda Yojiro
- Division of Cardiovascular Surgery, Kobe University Hospital
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- Murakami Hirohisa
- Department of Cardiovascular Surgery, Hyogo Brain and Heart Center
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- Matsuda Hitoshi
- Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center
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- Mukohara Nobuhiko
- Department of Cardiovascular Surgery, Hyogo Brain and Heart Center
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<p>We present the case of a 73-year-old man with stent graft infection, who had undergone thoracic endovascular aortic aneurysm repair with a supra-aortic bypass from the right axillary to the left common carotid and axillary arteries. The procedure included total stent graft removal, radical debridement, and in situ graft replacement via left anterolateral thoracotomy. Cerebral perfusion from the left axillary artery and cardioplegia using an occlusion balloon with moderate hypothermia were performed to reinforce organ protection. Staged omentopexy was performed the next day after initial replacement with non-contaminated instruments. The postoperative course was uneventful. No recurrence of infection has been found for 3 years.</p>
収録刊行物
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- Annals of Vascular Diseases
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Annals of Vascular Diseases 13 (1), 100-102, 2020-03-25
Annals of Vascular Diseases 編集委員会
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詳細情報 詳細情報について
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- CRID
- 1390846609816479872
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- NII論文ID
- 130007815726
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- ISSN
- 18816428
- 1881641X
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- Crossref
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可