Reconstruction with a Bovine Pericardial Patch of Infected Juxtarenal Aortic Aneurysm

Harada H,Kuriyama N,Kobayashi D,Kimura F,Baba T,Tong X

doi:10.16966/2471-4925.184

Abstract

Reconstruction with a Bovine Pericardial Patch of Infected Juxtarenal Aortic Aneurysm

Highlights

An infected aortic aneurysm (IAA) is a rare and fatal disease
In view of the anatomic characteristic of saccular form in IAA, we completed a patch repair of the aortic intima defect using a bovine pericardial patch
Debridement of infected tissues including infected arterial wall and numerous irrigation of the aneurysmal sac were performed, thereafter, the defect was repaired by using bovine pericardial patch plasty with 3-0 polyproplylene running sutures

Summary

Introduction

An infected aortic aneurysm (IAA) is a rare and fatal disease. Surgical treatment for an IAA is challenging and the ideal surgical procedures and graft material remain subjects of discussion. An IAA at the level of the renal artery is hard to repair [1]. In view of the anatomic characteristic of saccular form in IAA, we completed a patch repair of the aortic intima defect using a bovine pericardial patch. An immediate computed tomography angiogram was performed, which showed a saccular formed aneurysm and adjacent opacified extra-aortic space located at the postero-lateral wall of the abdominal aorta between the renal arteries (Figure 1). The supraceliac and infrarenal abdominal aorta and the superior mesenteric and left renal arteries were exposed. Debridement of infected tissues including infected arterial wall and numerous irrigation of the aneurysmal sac were performed, thereafter, the defect was repaired by using bovine pericardial patch plasty with 3-0 polyproplylene running sutures. The patient is alive and well 5 years after his operation (Figure 4)

Discussion

Conclusion