A Case of Replacement of the Chronic Dissecting Descending Aortic Aneurysm after the Frozen Elephant Trunk Technique / 日本心臓血管外科学会雑誌

<p>A-54-year-old man with an extensive dissecting thoracic aortic aneurysm underwent staged surgery which consisted of preceding total aortic arch replacement with the frozen elephant trunk technique using J Graft Open Stent Graft, followed by open descending aorta repair. During the second operation, a Dacron graft was anastomosed directly to the stent graft and the true lumen thus, the true lumen could be preserved around the stent graft. We herein discuss our approach in this case, focusing on prevention of bleeding from the elephant trunk.</p>

Six Cases of Infected Abdominal Aortic Aneurysm / 日本心臓血管外科学会雑誌

<p>Infected abdominal aortic aneurysm (IAAA) are rare, but life-threatening. This time we experienced six cases of infected abdominal aortic aneurysm. We measured the soothing of bacteremia by two weeks of antibiotic treatment before operation, if not in a state of impending rupture or rupture. The <i>in situ </i>prosthetic graft replacement surgery was the first choice. In five cases, we replaced by an <i>in situ </i>dacron graft with Rifampicin. However, one case that was by pondylitis caused by <i>Helicobacter cinaedi </i>was treated by extra-anatomical bypass. There was no post-operative infectious complication. In addition, surgery/hospital death was 0%.</p>