Repair of Mycotic Thoracoabdominal Aortic Aneurysm Following BCG Treatment

Abstract

reattach the ribs and manubrium to the elevated sternum. After the manubrium was elevated to a more anterior position, a significant deficiency in clavicle length was present, especially on the left side. Bilateral autologous semitendinosus grafting of clavicles to manubrium was performed (Fig). Postoperatively, the patient had an uneventful recovery and remains well 7 months later. Conclusions: Although acute central vein obstruction warrants urgent intervention, treatment of chronic occlusions remain less descript. Despite reported equivocal results between operative intervention and repeated angioplasty, open brachiocephalic vein bypass is suggested for longer term relief in patients with any etiologic anatomic compression.