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CC BY-NC-ND 4.0 · Thorac Cardiovasc Surg Rep 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
› Institutsangaben
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Publikationsverlauf

13. November 2017

19. Dezember 2017

Publikationsdatum:
22. März 2018 (online)

   Lizenzen und Reprints

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.

Keywords

aneurysm - cardiovascular surgery - thoracic surgery
 

  • References

  • 1 Rabitsch W, Brugger SA, Trubel W, Keil F, Greinix HT, Kalhs P. Streptococcus pneumoniae mycotic aortic aneurysm after allogeneic bone marrow transplantation. Transplantation 2002; 74 (07) 1048-1050
    CrossrefPubMedGoogle Scholar
  • 2 Czerny M, von Allmen R, Opfermann P. , et al. Self-made pericardial tube graft: a new surgical concept for treatment of graft infections after thoracic and abdominal aortic procedures. Ann Thorac Surg 2011; 92 (05) 1657-1662
    CrossrefPubMedGoogle Scholar
  • 3 Wong JM, Shermak MA, Tihan T, Jones CE. A subclavian artery aneurysm in a patient with HIV infection: a case report. J Vasc Surg 2002; 35 (05) 1006-1009
    PubMedGoogle Scholar
  • 4 Saliou C, Badia P, Duteille F, D'Attellis N, Ricco JB, Barbier J. Mycotic aneurysm of the left subclavian artery presented with hemoptysis in an immunosuppressed man: case report and review of literature. J Vasc Surg 1995; 21 (04) 697-702
    CrossrefPubMedGoogle Scholar
  • 5 Ohkoshi Y, Ninomiya H, Mukai HY. , et al. Pseudoaneurysm of the subclavian artery due to Xanthomonas pneumonia in a patient with acute myeloid leukemia: its rupture treated by transcatheter coil embolization. Intern Med 1999; 38 (08) 671-674
    CrossrefPubMedGoogle Scholar
  • 6 Marks C, Kuskov S. Pattern of arterial aneurysms in acquired immunodeficiency disease. World J Surg 1995; 19 (01) 127-132
    CrossrefPubMedGoogle Scholar