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

Jonathan M. Hemli; Byron D. Patton; S. Jacob Scheinerman; Derek R. Brinster

doi:10.1055/s-0039-3401012

AORTA, Table of Contents

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

¹Department of Cardiovascular and Thoracic Surgery, Lenox Hill Hospital/Northwell Health, New York, New York

,

Byron D. Patton

¹Department of Cardiovascular and Thoracic Surgery, Lenox Hill Hospital/Northwell Health, New York, New York

,

S. Jacob Scheinerman

¹Department of Cardiovascular and Thoracic Surgery, Lenox Hill Hospital/Northwell Health, New York, New York

,

Derek R. Brinster

¹Department of Cardiovascular and Thoracic Surgery, Lenox Hill Hospital/Northwell Health, New York, New York

› Author Affiliations

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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References

References
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