Repair of Infective Thoracic Aortic Aneurysm Ruptured in the Lung Using Total Arch Replacement with a Frozen Elephant Trunk Graft

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  • MORIOKA Koichi
    Department of Cardiovascular Surgery, Faculty of Medical Sciences, University of Fukui
  • KOSHIJI Takaaki
    Department of Cardiovascular Surgery, Faculty of Medical Sciences, University of Fukui
  • KAWAMURA Yuko
    Department of Cardiovascular Surgery, Faculty of Medical Sciences, University of Fukui
  • TANABE Sawaka
    Department of Cardiovascular Surgery, Faculty of Medical Sciences, University of Fukui
  • TAKAMORI Atsushi
    Department of Cardiovascular Surgery, Faculty of Medical Sciences, University of Fukui
  • YAMADA Narihisa
    Department of Cardiovascular Surgery, Faculty of Medical Sciences, University of Fukui

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Other Title
  • オープンステント法を用いて弓部全置換を行った感染性胸部大動脈瘤破裂の1例
  • 症例 オープンステント法を用いて弓部全置換を行った感染性胸部大動脈瘤破裂の1例
  • ショウレイ オープンステントホウ オ モチイテ キュウブ ゼン チカン オ オコナッタ カンセンセイ キョウブ ダイ ドウミャクリュウ ハレツ ノ 1レイ

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We report successful surgical treatment of an infective thoracic aortic aneurysm ruptured into the left lung. An 80-year-old woman presented with 38.5°C fever and cough with hemoptysis. She had been on hemodialysis due to chronic renal failure. Chest computed tomography revealed a distal arch aneurysm that penetrated into the left lung. We diagnosed infective aortic aneurysm from a marked rise in inflammatory markers and morphology of the aneurysm. Emergency surgery such as total arch replacement using a four-branched arch graft and open stent grafting (frozen elephant trunk) was performed. Although tracheotomy was required for postoperative respiration management, the infection subsided and the patient was discharged on the 69th day after surgery. For infective aneurysm, stent graft use as a bridge may be an excellent way to stabilize the patient and change a very high-risk operation into easier one.

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