Acta Medica Okayama volume74 issue3
2020-06 発行
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
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.
autologous iliac artery graft
Staphylococcus schleiferi
graft infection
domino reconstruction
Dacron graft