In Situ Replacement for a Mycotic Aneurysm on the Porcelain Aorta Using the Superficial Femoral Artery as a Vascular Graft
- VernacularTitle:自己浅大腿動脈による上行大動脈置換を施行したPorcelain aortaを伴う感染性胸部仮性動脈瘤の1例
- Author:
Norikazu KAWAI
1
;
Narihiro ISHIDA
1
;
Yasuhito NAKAMURA
1
;
Yoshitaka KUMADA
1
Author Information
- Keywords: infectious aneurysm; mycotic aneurysm; autologous graft; replacement of ascending aorta
- From:Japanese Journal of Cardiovascular Surgery 2023;52(3):172-175
- CountryJapan
- Language:Japanese
- Abstract: Infected thoracic aortic aneurysms are rare. Standard treatment methods have not yet been established for medical treatment, timing of surgery, or surgical techniques. In this study, we report a case in which an ascending aortic reconstruction using an autologous superficial femoral artery was successfully performed for an infected pseudoaneurysm of the thoracic aorta without the use of artificial materials. The patient was a 78-year-old man with bacteremia caused by Staphylococcus aureus and an infected pseudoaneurysm of the thoracic aorta. The patient underwent replacement of the ascending aorta and coronary artery bypass grafting. The patient was discharged from the hospital with no recurrence of infection and no abnormality of the reconstructed aorta.