J.Jpn. Surg. Soc.. 79(9): 1173-1176, 1978

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Report on the annual meeting

ASCENDING AORTA―ABDOMINAL AORTA BYPASS: SURGICAL TREATMENT FOR THE INFECTED PROSTHETIC GRAFT OF THE DESCENDING THORACIC AORTA

A 19 year old boy with traumatic aneurysm of the descending thoracic aorta was operated upon with graft replacement using temporary long external bypass from the left subclavian artery to the left femoral artery.
Following the operation, sporadic high fever appeared and blood culture showed Pseudomonas septicemia. Postopeiative aortogram revealed an pseudoaneurysm at the anastomotic site conceivably due to graft infection.
In the second operation, the median sternotomy and median abdominal incision were made and the bypass using 16 mm double velour knitted graft was made between the ascending aorta and supra-celiac abdominal aorta. The left pleural cavity was then opened for the removal of the infected graft and both ends of the descending aorta were closed. The postoperative course was quite uneventful.
In this case, ascending-abdominal aorta bypass was performed avoiding revascularization in the left pleural cavity which we consider one of the most effective methods of operation.

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