JTCS KCI
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Jun Yokote
Akihiko Usui
Hideki Oshima
Kohei Yokoi
Yuichi Ueda
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Yokote, J.
Right arrow Articles by Ueda, Y.
Right arrow Search for Related Content
PubMed
Right arrow Articles by Yokote, J.
Right arrow Articles by Ueda, Y.
Related Collections
Right arrow Great vessels

J Thorac Cardiovasc Surg 2009;138:779-781
© 2009 The American Association for Thoracic Surgery

Brief Technique Report

Total thoracic aorta reconstruction against graft infection in a patient with chronic empyema developed after lung cancer surgery

Jun Yokote, MD*, Akihiko Usui, MD, Hideki Oshima, MD, Noriyasu Usami, MD, Kohei Yokoi, MD, Yuichi Ueda, MD

Department of Cardio-Thoracic Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan

Received for publication May 14, 2008; accepted for publication July 15, 2008.

* Address for reprints: Jun Yokote, MD, Department of Cardio-Thoracic Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya 466-8550, Japan. (Email: j-yokote@wf6.so-net.ne.jp).

The first 20% of the full text of this article appears below.


   Introduction
 
Prosthetic graft infection is rare; however, it is lethal in up to 90% of cases in which it does occur, especially in the thoracic aorta.1Go Major concerns of treatment for this complication are infection control, resection of the infected graft, reconstruction of the vessels, and prevention of reinfection.2,3Go If feasible, total aortic reconstruction without cardiopulmonary bypass is ideal for surgical treatment, especially during the active phase of infection. We report total thoracic aorta reconstruction against graft infection without cardiopulmonary bypass in a patient with chronic empyema that developed after advanced lung cancer surgery.


   Clinical Summary
 
A 46-year-old man had undergone a left pneumonectomy and a distal aortic arch replacement with a prosthetic graft for T4 N0 M0 lung squamous cell carcinoma invading the aortic arch and the left subclavian artery 10 years ago.4Go Six months after the surgery, an omentopexy was performed for a bronchial fistula and left empyema. Eight years after the first surgery, he was hospitalized again for open window thoracotomy for chronic recurrent empyema. Four weeks after the thoracotomy, we found a progressing graft infection around the distal anastomosis . . . [Full Text of this Article]






HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2009 by The American Association for Thoracic Surgery.