Repair of mycotic aneurysm of the innominate artery with homograft tissue

• Published in: The Annals of thoracic surgery Vol. 52; no. 4; pp. 863 - 864
• Main Authors: Schuch, Douglas, Wolff, Larry
• Format: Journal Article Conference Proceeding
• Language: English
• Published: New York, NY Elsevier Inc 01.10.1991; Elsevier Science
• Subjects: Aneurysm, Infected - diagnostic imaging; Aneurysm, Infected - surgery; Aorta - transplantation; Biological and medical sciences; Brachiocephalic Trunk - diagnostic imaging; Brachiocephalic Trunk - surgery; Cryopreservation; Humans; Male; Medical sciences; Methods; Middle Aged; Radiography; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Transplantation, Homologous; Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels; Human; Infection; Case study; Treatment; Mycosis; Surgery; Aneurysm; Homograft; Cardiovascular disease; Adult; Diagnosis
• ISSN: 0003-4975; 1552-6259
• DOI: 10.1016/0003-4975(91)91229-O

The case of a 46-year-old drag addict who underwent repair of a mycotic aneurysm of the innominate artery with a 12-mm homograft is presented. The homograft was obtained from the descending thoracic position in a young child. Replacement of infected arteries with various artificial grafts risks recurrent infection and anastomotic disruption. The use of a homograft conduit in this case was successful in restoring the appropriate blood flow without infection. We suggest that the homograft conduit can be used in other areas with similar results.