1. A Case of an Aortic Abscess around the Elephant Trunk
- Author
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Noritsugu Shiono, Hiroshi Masuhara, Yoshinori Watanabe, Muneyasu Kawasaki, Shinnosuke Okuma, Tomoyuki Katayanagi, and Takeshiro Fujii
- Subjects
Male ,Pulmonary and Respiratory Medicine ,medicine.medical_specialty ,Elephant trunks ,medicine.medical_treatment ,Aortic Diseases ,Case Report ,Aorta, Thoracic ,Postoperative Complications ,medicine.artery ,Humans ,Medicine ,Abscess ,Aortic dissection ,Aorta ,Debridement ,Aortic Aneurysm, Thoracic ,business.industry ,Gastroenterology ,General Medicine ,Middle Aged ,medicine.disease ,Surgery ,Aortic Dissection ,Male patient ,Descending aorta ,Tomography, X-Ray Computed ,Cardiology and Cardiovascular Medicine ,business ,Omentum ,Negative-Pressure Wound Therapy ,Vascular graft - Abstract
A 52-year-old male patient with a history of total arch replacement using the elephant trunk technique for acute aortic dissection 4 years before visited our hospital with the chief complaint of persistent fever. Chest computed tomography (CT) suggested prosthetic vascular graft infection, which was treated surgically after chemotherapy. The first surgery consisted of debridement of an abscess around the vascular graft and in the aorta around the elephant trunk, and thoracic descending aorta replacement and vacuum-assisted closure (VAC) in view of the risk of bleeding from the peripheral region of the elephant trunk. One week later, omental filling was performed as the second step. This is a very rare case of aortic abscess around the elephant trunk that could successfully be managed by graft-conserving treatment.
- Published
- 2015
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