Abstract
Which graft material is the optimal graft material for the treatment of aortic graft infections is still a matter of controversy. We used a branched xenopericardial roll graft to replace an infected aortic arch graft as a “rescue” operation. The patient is alive and well 37 months postoperatively without recurrence of the infection and any surgical complication. This procedure may have the possibility to serve as an option for the treatment of aortic arch graft infection.
Highlights
The optimal graft material for the surgical treatment of aortic graft infections is still a matter of controversy
A 66-year-old male was urgently transferred to our hospital because of fever, general malaise, and refractory skin to graft fistula after a total aortic arch replacement in 2015
An incisional abscess was noted around the site of the left axillary anastomosis, and a graft-branch-to-skin fistula was diagnosed
Summary
The optimal graft material for the surgical treatment of aortic graft infections is still a matter of controversy. A 66-year-old male was urgently transferred to our hospital because of fever, general malaise, and refractory skin to graft fistula after a total aortic arch replacement in 2015. He had a complicated past history of treatment for major cardiac and cerebrovascular disease. He had undergone a percutaneous coronary intervention (PCI) for acute myocardial infarction at years of age, and coronary artery bypass graft surgery x4 using left internal thoracic artery, radial artery, and saphenous vein grafts at years of age. In 2013, at 64 years of age, the abscess was opened and the graft branch to the axillary artery was partially removed through a subaxillary skin incision. Written informed consent with the approval of our institutional review board was obtained from the patient's family before performing the procedure
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