Portal de Periódicos da CAPES

In Situ Replacement for Mycotic Aneurysms on the Thoracic and Abdominal Aorta Using Rifampicin-Bonded Grafting and Omental Pedicle Grafting

2011; Elsevier BV; Volume: 93; Issue: 2 Linguagem: Inglês

10.1016/j.athoracsur.2011.07.050

1552-6259

Naomichi Uchida, Akira Katayama, Kentaro Tamura, Miwa Sutoh, Masatsugu Kuraoka, Taijiro Sueda,

Aortic aneurysm repair treatments

Background The objective of this report is to discuss the efficacy of in situ replacement for treating mycotic aneurysm, particularly using rifampicin-bonded grafts and omental pedicle grafts, on the basis of our 7 years of experience. Methods Between December 2003 and December 2010, we performed surgical treatments in 23 patients (for the thoracic aorta in 6 patients, for the thoracoabdominal aorta in 8 patients, and for the abdominal aorta in 9 patients; 7 emergency, 10 urgent, and 6 elective operations) with mycotic aneurysm by using rifampicin-bonded grafting and omental pedicle grafting. Results One patient died in hospital because of local recurrent infection. One patient required an additional operation on another aortic site, and 3 patients had spinal cord injuries (2 transient and 1 permanent). Overall survival at 5 years was 95%, and the rate of freedom from aortic events at 5 years was 86%. Conclusions In situ replacement using rifampicin-bonded grafting and omental pedicle grafting is effective for treating mycotic aneurysms of the thoracic and abdominal aorta.