Extra-Anatomic Bypass Operation for an Infected Aortic Arch Aneurysm with Broad Mediastinal Abscess: A Case Report

• Published in: Annals of Vascular Diseases Vol. 8; no. 3; pp. 246 - 248
• Main Authors: Ueno, Masahiro, Iguro, Yoshifumi, Inoue, Hironori, Yamamoto, Keisuke
• Format: Journal Article
• Language: English
• Published: Japan The Editorial Committee of Annals of Vascular Diseases 01.01.2015
• Subjects: Case Report; extra-anatomic bypass; infected aortic arch aneurysm; infected aortic arch aneurysm; extra-anatomic bypass
• ISSN: 1881-641X; 1881-6428
• DOI: 10.3400/avd.cr.15-00009

We encountered an informative case of infected aortic arch aneurysm. The proximal descending aorta, left common carotid artery, and left subclavian artery were severely involved in an abscess; thus, typical in situ reconstruction of the arch was considered impossible. Therefore, to secure more distal branches appropriate for anastomosis, a modified extra-anatomic arch repair was performed through additional incisions. The patient developed renal and respiratory failure and died of septicemia five and a half months after the operation. However, postoperative computed tomograms demonstrated that the abscess had disappeared.