In situ replacement of the thoracic aorta using an equine pericardial roll graft for an aortobronchial fistula due to aortic rupture

A 74-year-old woman with massive hemoptysis and shock who had been diagnosed with thoracic aortic rupture underwent in situ replacement of the thoracic aorta using an equine pericardial roll graft. The lower lobe of the left lung was resected because of a massive hematoma and adhesion to the wall of...

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Veröffentlicht in:General thoracic and cardiovascular surgery 2009-08, Vol.57 (8), p.413-417
Hauptverfasser: Yamamoto, Hiroshi, Yamamoto, Fumio, Ishibashi, Kazuyuki, Chida, Yoshifumi, Minamiya, Yoshihiro, Nanjo, Hiroshi
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container_end_page 417
container_issue 8
container_start_page 413
container_title General thoracic and cardiovascular surgery
container_volume 57
creator Yamamoto, Hiroshi
Yamamoto, Fumio
Ishibashi, Kazuyuki
Chida, Yoshifumi
Minamiya, Yoshihiro
Nanjo, Hiroshi
description A 74-year-old woman with massive hemoptysis and shock who had been diagnosed with thoracic aortic rupture underwent in situ replacement of the thoracic aorta using an equine pericardial roll graft. The lower lobe of the left lung was resected because of a massive hematoma and adhesion to the wall of the thoracic aorta. Intraoperative microscopic examination of the resected aortic wall revealed Gram-positive bacteria (α-streptococcus in bacterial cultivation). Histology of the resected aorta revealed abscess formation in the media and adventitia of the aortic wall associated with disruption of the media (dissection). Postoperative computed tomography revealed no fluid collection around the graft 1 month after surgery, and magnetic resonance imaging showed no significant graft dilation 20 months after operation. The equine pericardium can be an option of alternative graft materials for in situ replacement of the thoracic aorta in patients with an aortobronchial fistula due to aortic rupture.
doi_str_mv 10.1007/s11748-008-0388-7
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The lower lobe of the left lung was resected because of a massive hematoma and adhesion to the wall of the thoracic aorta. Intraoperative microscopic examination of the resected aortic wall revealed Gram-positive bacteria (α-streptococcus in bacterial cultivation). Histology of the resected aorta revealed abscess formation in the media and adventitia of the aortic wall associated with disruption of the media (dissection). Postoperative computed tomography revealed no fluid collection around the graft 1 month after surgery, and magnetic resonance imaging showed no significant graft dilation 20 months after operation. The equine pericardium can be an option of alternative graft materials for in situ replacement of the thoracic aorta in patients with an aortobronchial fistula due to aortic rupture.</abstract><cop>Japan</cop><pub>Springer Japan</pub><pmid>19779789</pmid><doi>10.1007/s11748-008-0388-7</doi><tpages>5</tpages></addata></record>
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subjects Aged
Animals
Aorta, Thoracic - diagnostic imaging
Aorta, Thoracic - microbiology
Aorta, Thoracic - surgery
Aortic Rupture - complications
Aortic Rupture - diagnostic imaging
Aortic Rupture - microbiology
Aortic Rupture - surgery
Aortography - methods
Bioprosthesis
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation - instrumentation
Bronchial Fistula - diagnostic imaging
Bronchial Fistula - etiology
Bronchial Fistula - microbiology
Bronchial Fistula - surgery
Cardiac Surgery
Cardiology
Case Report
Debridement
Female
Hemoptysis - etiology
Hemoptysis - surgery
Horses
Humans
Magnetic Resonance Angiography
Medicine
Medicine & Public Health
Pericardium - transplantation
Shock, Hemorrhagic - etiology
Shock, Hemorrhagic - surgery
Streptococcus - isolation & purification
Surgical Oncology
Thoracic Surgery
Tomography, X-Ray Computed
Treatment Outcome
Vascular Fistula - diagnostic imaging
Vascular Fistula - etiology
Vascular Fistula - microbiology
Vascular Fistula - surgery
title In situ replacement of the thoracic aorta using an equine pericardial roll graft for an aortobronchial fistula due to aortic rupture
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