CC-BY-NC-ND 4.0 · THORAC CARDIOV SURG Reports 2018; 07(01): e9-e11
DOI: 10.1055/s-0038-1636940
Case Report: Vascular
Georg Thieme Verlag KG Stuttgart · New York

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

Nawras Diab
1  Department of Cardiovascular Surgery, University Heart Center Freiburg Bad Krozingen, Germany
2  Faculty of Medicine, University of Freiburg, Germany
,
Clarence Pingpoh
1  Department of Cardiovascular Surgery, University Heart Center Freiburg Bad Krozingen, Germany
2  Faculty of Medicine, University of Freiburg, Germany
,
Matthias Siepe
1  Department of Cardiovascular Surgery, University Heart Center Freiburg Bad Krozingen, Germany
2  Faculty of Medicine, University of Freiburg, Germany
,
Friedhelm Beyersdorf
1  Department of Cardiovascular Surgery, University Heart Center Freiburg Bad Krozingen, Germany
2  Faculty of Medicine, University of Freiburg, Germany
,
Ahmed Kharabish
3  Department of Radiology, University Heart Center Freiburg, Germany
4  Radiology Department, Cairo University, Egypt
,
Martin Czerny
1  Department of Cardiovascular Surgery, University Heart Center Freiburg Bad Krozingen, Germany
2  Faculty of Medicine, University of Freiburg, Germany
› Author Affiliations
Further Information

Publication History

13 November 2017

19 December 2017

Publication Date:
22 March 2018 (online)

Abstract

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.