Document Detail

Emergency treatment of rupture of the proximal anastomosis of an infected thoracoabdominal aortic graft with bleeding into a postpneumonectomy empyema cavity.
MedLine Citation:
PMID:  3273216     Owner:  NLM     Status:  MEDLINE    
The thoracic part of a huge thoracoabdominal aortic aneurysm was resected. A prosthetic graft was implanted between the descending aorta and the iliac arteries. The celiac, superior mesenteric, and the renal arteries were connected to the aortic prosthesis with two bifurcation grafts. A life-threatening hemorrhage into an empyema cavity occurred postoperatively. An emergency two-stage procedure was employed involving: (1) exclusion of the infected intrathoracic segment and exclusion of an infected sutured aortic stump; (2) subsequent removal of necrotic and infected tissue, including the excluded segment of the aorta and the graft in a second operation. The patient recovered and is now well and works full-time. Angiography 3 years after the operation shows that all anastomoses are patent. A scheme of management of these rare cases is proposed.
S Larsson; S Svensson
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery     Volume:  1     ISSN:  1010-7940     ISO Abbreviation:  Eur J Cardiothorac Surg     Publication Date:  1987  
Date Detail:
Created Date:  1990-05-07     Completed Date:  1990-05-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8804069     Medline TA:  Eur J Cardiothorac Surg     Country:  GERMANY, WEST    
Other Details:
Languages:  eng     Pagination:  59-62     Citation Subset:  IM    
Department of Thoracic and Cardiovascular Surgery, Sahlgrenska Sjukhuset, Göteborg, Sweden.
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MeSH Terms
Anastomosis, Surgical
Aorta, Abdominal
Aorta, Thoracic
Aortic Aneurysm / surgery*
Blood Vessel Prosthesis*
Empyema / complications*
Hemostasis, Surgical / methods*
Postoperative Complications / surgery*

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