Palliative Stent-Graft Insertion Followed by an Allograft Replacement for an Infected and Ruptured Aortic Aneurysm

Hironori Inoue, MD, Yoshifumi Iguro, MD, Hiroyuki Yamamoto, MD, Masahiro Ueno, MD, Akihiro Higashi, MD, Koji Tao, MD, Daisuke Yotsumoto, MD, and Ryuzo Sakata, MD

We report a surgical case of infected thoracic aortic aneurysm. Before arrival of the cryopres-erved aortic allograft, the patient had hemoptysis resulting from aneurysm rupture. Therefore endovascular stent grafting was urgently performed three days prior to in situ allograft implantation. Palliative stent grafting prevented circulatory collapse and stabilized the patient until successful allograft implantation. (Ann Thorac Cardiovasc Surg 2009; 15: 261-264)

Key words: infected thoracic aortic aneurysm, stent grafting, bridge to allograft implantation

Department of Thoracic, Cardiovascular and Hepato-biliary-pancreatic Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan

Received February 14, 2008; accepted for publication July 17, 2008
Address reprint requests to Hironori Inoue, MD: Department of Thoracic, Cardiovascular and Hepato-biliary-pancreatic Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, 8–35–1 Sakuragaoka, Kagoshima 890–8520, Japan.

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