Abstract

JIMENEZ, César Eduardo; RANDIAL, Leonardo; FACUNDO, Mabel  and  QUIROGA, Fernando. Infection of a carotid-carotid graft for aortic debranching: treatment with an autologous venous graft. Rev. Colomb. Cardiol. [online]. 2018, vol.25, n.6, pp.407-407. ISSN 0120-5633.  https://doi.org/10.1016/j.rccar.2018.03.006.

The use of vascular replacements and endovascular devices has led to the treatment of many conditions that could not be operated on due to a high surgical risk, such as aortic aneurysms. The materials used for these reconstructions are very resistant and durable, but are very susceptible to being colonised and infected, which leads to a considerable morbidity and mortality.

The case is presented of a 64 year-old patient with a history of an aortic arch and descending aortic aneurysm. This had been treated in another hospital with a thoracic aortic endovascular repair and debranching of the aortic arch, with carotid-carotid and left carotid-subclavian Dacron graft. The pretracheal route was used, after attempting to cover the exposed graft with a myocutaneous flap that failed due to necrosis. The patient was admitted to the Hospital Universitario Clínica de San Rafael, presenting with a carotid-carotid graft at cervical level, with local signs of infection and secondary sepsis.

Keywords : Hybrid surgery; Vessels; Complex aneurysm.

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