Organ Protection for Radical Debridement to Prevent Recurrence of Infection after Zone 1 Thoracic Endovascular Aortic Aneurysm Repair: A Case Report

  • Koda Yojiro
    Division of Cardiovascular Surgery, Kobe University Hospital
  • Murakami Hirohisa
    Department of Cardiovascular Surgery, Hyogo Brain and Heart Center
  • Matsuda Hitoshi
    Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center
  • Mukohara Nobuhiko
    Department of Cardiovascular Surgery, Hyogo Brain and Heart Center

この論文をさがす

抄録

<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

参考文献 (5)*注記

もっと見る

詳細情報 詳細情報について

問題の指摘

ページトップへ