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CC BY 4.0 · Aorta (Stamford) 2019; 07(05): 137-139
DOI: 10.1055/s-0039-3401012
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Necrotizing Infection of the Aortic Arch: Reconstruction Utilizing Unusual Extra-anatomic Bypass Grafts to Reroute Cerebral Blood Flow

Jonathan M. Hemli
1   Department of Cardiovascular and Thoracic Surgery, Lenox Hill Hospital/Northwell Health, New York, New York
,
Byron D. Patton
1   Department of Cardiovascular and Thoracic Surgery, Lenox Hill Hospital/Northwell Health, New York, New York
,
S. Jacob Scheinerman
1   Department of Cardiovascular and Thoracic Surgery, Lenox Hill Hospital/Northwell Health, New York, New York
,
Derek R. Brinster
1   Department of Cardiovascular and Thoracic Surgery, Lenox Hill Hospital/Northwell Health, New York, New York
› Author Affiliations Funding None.
Further Information

Publication History

04 May 2018

19 October 2019

Publication Date:
04 February 2020 (online)

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Abstract

Destructive infections of the aortic arch and great vessels are challenging to manage. We describe a novel technique for debranching the right cerebral and upper extremity arteries via composite extra-anatomic bypasses from the femoral artery, with subsequent homograft in-line reconstruction of the arch, in a patient with Staphylococcus sepsis and necrosis of the arch and great vessels.

Keywords

extra-anatomic bypass - infective aortitis - homograft
 

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