| Management of carotid Dacron patch infection: a case report using median sternotomy for proximal common carotid artery control and in situ polytetrafluoroethylene grafting. | |
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MedLine Citation:
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PMID: 19875014 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We report on a 58-year-old male who presented with an enlarging cervical hematoma 3 months following carotid endarterectomy with Dacron patch repair, due to septic disruption of the Dacron patch secondary to presumed infection. The essential features of this case are the control of the proximal common carotid artery gained through a median sternotomy, because the patient was markedly obese with minimal thyromental distance, and the treatment consisting of in situ polytetrafluoroethylene bypass grafting, due to the absence of a suitable autogenous saphenous vein. Median sternotomy is rarely required in case of reintervention for septic false aneurysms and hematomas following carotid endarterectomy but should be considered whenever difficult control of the common carotid artery, when entering the previous cervicotomy, is anticipated. In situ polytetrafluoroethylene grafting can be considered if autogenous vein material is lacking. |
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Authors:
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Giulio Illuminati; Francesco G Calio'; Antonio D'Urso; Gianluca Ceccanei; Maria Antonietta Pacil?? |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Annals of vascular surgery Volume: 23 ISSN: 1615-5947 ISO Abbreviation: Ann Vasc Surg Publication Date: 2009 Nov-Dec |
Date Detail:
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Created Date: 2009-10-30 Completed Date: 2010-01-19 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8703941 Medline TA: Ann Vasc Surg Country: United States |
Other Details:
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Languages: eng Pagination: 786.e1-5 Citation Subset: IM |
Affiliation:
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Francesco Durante Department of Surgery, University of Rome La Sapienza, Rome, Italy. giulio.illuminati@uniroma1.it |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aneurysm, False
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microbiology,
surgery Aneurysm, Ruptured / microbiology, surgery Blood Vessel Prosthesis / adverse effects* Blood Vessel Prosthesis Implantation / instrumentation* Carotid Artery Diseases / complications, surgery* Carotid Artery, Common / microbiology, surgery* Endarterectomy, Carotid / adverse effects*, instrumentation Hematoma / microbiology, surgery Humans Male Middle Aged Obesity / complications Polyethylene Terephthalates* Polytetrafluoroethylene* Prosthesis Design Prosthesis-Related Infections / microbiology, surgery* Reoperation Staphylococcus epidermidis / isolation & purification Sternotomy* |
| Chemical | |
Reg. No./Substance:
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0/Polyethylene Terephthalates; 9002-84-0/Polytetrafluoroethylene |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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