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Article dans une revue

Frozen elephant trunk infection: to defrost or to debranch?

Abstract : Y Infections of frozen elephant trunk hybrid prosthesis (HP) are not well documented in the literature and their management is not standardized yet. We report herein the case of a 59-year-old patient who benefited from a Thoraflex (TM) HP aortic arch replacement for an acute type A aortic dissection. He presented a year later with a Staphylococcus aureus infection of the proximal part of this prosthesis. We performed a replacement of the proximal compound of the HP accompanied by a complete debranching of the 3 supra-aortic vessels with an inter-carotidal retro-oesophageal bypass. As we left in situ the endovascular graft within the descending aorta, a life-long antibiotic therapy was introduced. The postoperative follow-up was uneventful, and the patient discharged home 2 weeks after his surgery. As an alternative to a more radical redo surgery with major risk, a hybrid medical and surgical treatment of infected frozen elephant trunk could be considered.
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https://hal-u-picardie.archives-ouvertes.fr/hal-03572334
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Soumis le : lundi 14 février 2022 - 11:22:24
Dernière modification le : mardi 15 février 2022 - 03:00:15

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Joseph Nader, Yuthiline Chabry, Houda Nazih, Thierry Caus. Frozen elephant trunk infection: to defrost or to debranch?. EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 2021, 60 (1), pp.191-193. ⟨10.1093/ejcts/ezaa466⟩. ⟨hal-03572334⟩

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