Acta Medica Okayama volume74 issue3
2020-06 発行

Successful Treatment of Staphylococcus schleiferi Infection after Aortic Arch Repair: In Situ Aortic Arch Replacement and Domino Reconstruction of the Debranching Graft using Autologous Iliac Artery

Murakami, Takashi Department of aCardiovascular Surgery,Osaka City University Graduate School of Medicine
Tokuda, Takanori Department of Cardiovascular Surgery, Hirakata Kosai Hospital
Nishimura, Shinsuke Department of aCardiovascular Surgery,Osaka City University Graduate School of Medicine
Fujii, Hiromichi Department of aCardiovascular Surgery,Osaka City University Graduate School of Medicine
Takahashi, Yosuke Department of aCardiovascular Surgery,Osaka City University Graduate School of Medicine
Yamane, Kokoro Department of aCardiovascular Surgery,Osaka City University Graduate School of Medicine
Inoue, Kazushige Department of Cardiovascular Surgery, Hirakata Kosai Hospital
Yamada, Koichi Department of Infection Control Science, Osaka City University Graduate School of Medicine
Kakeya, Hiroshi Department of Infection Control Science, Osaka City University Graduate School of Medicine
Shibata, Toshihiko Department of aCardiovascular Surgery,Osaka City University Graduate School of Medicine
Publication Date
2020-06
Abstract
A 62-year-old Japanese male presented with graft infection by Staphylococcus schleiferi 50 days after debranching of the left subclavian artery and frozen elephant trunk repair for the entry closure of a Stanford type B aortic dissection. The graft was removed, and the patient was successfully treated using in situ reconstruction of the arch with omental flap coverage, removal of the debranching graft, autologous iliac artery grafting, and longterm antibiotics. Domino reconstruction of the infected debranching graft using autologous external iliac artery and a Dacron graft can thus be a good option in similar cases.
Document Type
Case Report
Keywords
autologous iliac artery graft
Staphylococcus schleiferi
graft infection
domino reconstruction
Dacron graft
Link to PubMed
Thumnail 74_3_251.pdf 5.63 MB