Homograft Treatment for Infected Frozen Elephant Trunk Prosthesis

Authors

  • Petar Risteski, MD Department of Thoracic and Cardiovascular Surgery, University Hospital Frankfurt, Frankfurt am Main, Germany
  • Razan Salem, MD Department of Thoracic and Cardiovascular Surgery, University Hospital Frankfurt, Frankfurt am Main, Germany
  • Thomas Walther, MD, PhD Department of Thoracic and Cardiovascular Surgery, University Hospital Frankfurt, Frankfurt am Main, Germany
  • Johanna Kessel, MD Department II of Internal Medicine, Infectiology, University Hospital Frankfurt, Frankfurt am Main, Germany
  • Wolf Otto Bechstein, MD, PhD Department of General and Visceral Surgery, University Hospital Frankfurt, Frankfurt am Main, Germany

DOI:

https://doi.org/10.1532/hsf.3237

Keywords:

aortic operation, aneurysm, aortic arch, aorta, aortic dissection

Abstract

A 46-year-old male received total arch replacement with frozen elephant trunk for acute non-A/non-B aortic dissection. Two months later, he underwent emergency reoperation for contained rupture of the left common carotid ostium at its insertion on the aortic arch. Three months after the reoperation, he developed tracheoesophageal fistula and infection of the prosthesis in the region of the aortic arch and the proximal descending aorta. Second reoperation was performed with replacement of the aorta with a composite of three aortic homografts, and the fistula was permanently closed with a direct suture and intercostal muscle flap

References

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Smeds MR, Duncan AA, Harlander-Locke MP, et al. 2016. Treatment and outcomes of aortic endograft infection. J Vasc Surg 63:332-40.

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Published

2020-10-19

How to Cite

Risteski, P., Salem, R., Walther, T., Kessel, J., & Bechstein, W. O. (2020). Homograft Treatment for Infected Frozen Elephant Trunk Prosthesis. The Heart Surgery Forum, 23(6), E786-E788. https://doi.org/10.1532/hsf.3237

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