Home > Riviste > The Journal of Cardiovascular Surgery > Fascicoli precedenti > The Journal of Cardiovascular Surgery 1998 Dicembre;39(6) > The Journal of Cardiovascular Surgery 1998 Dicembre;39(6):735-41

ULTIMO FASCICOLOTHE JOURNAL OF CARDIOVASCULAR SURGERY

Rivista di Chirurgia Cardiaca, Vascolare e Toracica


Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,632


eTOC

 

ORIGINAL ARTICLES  VASCULAR PAPERS


The Journal of Cardiovascular Surgery 1998 Dicembre;39(6):735-41

lingua: Inglese

The use of arte­rial allo­grafts in ­aortic ­graft infec­tions. A ­three ­year expe­ri­ence on ­eighteen ­patients

Locati P., Novali C., Socrate A. M., Costantini E., Morlacchi E., Pizzalunga G., Costantini S.

From the Depart­ment of Vas­cular Sur­gery Busto ­Arsizio Hos­pital, ­Busto Arsizio (Varese), Italy


PDF  ESTRATTI


Back­ground. We ­describe our expe­ri­ence in the treat­ment of ­aortic ­graft infec­tions by ­replacing ­them ­with arte­rial homo­grafts as sug­gested by the ­good ­results ­recently ­described.
­Methods. ­Between ­March 1994 and ­March 1997 ­eighteen ­patients ­with infec­tions of the aor­tof­e­moral bifur­ca­tion seg­ments ­have ­been ­treated. All ­patients under­went a com­plete explan­ta­tion of the ­infected ­graft and an in ­situ revas­cu­lar­iza­tion ­with arte­rial homo­graft har­vested in mul­ti­organ ­removal. ­Eight seg­ments ­were ­freshly pre­served, 10 ­were cryo­pre­served. Four ­patients ­were oper­ated as emer­gen­cies, of ­which 3 for aor­to-en­teric fis­tulas. All ­others pre­sented a ­serious ­septic ­state.
­Results. ­Three ­patients ­died in the ­early post­op­er­a­tive ­period: one of ­acute infarc­tion and two of homo­graft ­related ­causes. In the ­follow-up ­there was ­only one ­death ­from ­acute infarc­tion, a ­branch occlu­sion and two allo­graft ­enteric fis­tulas suc­cess­fully ­treated by sur­gery. All sur­viving ­patients are sub­mitted to peri­od­ical hae­mod­y­namic and tom­o­graphic con­trol ­with an ­average ­follow-up of 22 ­months (­range 3 ­months to 3 ­years) and ­there has ­been no allo­graft degen­er­a­tion so far.
Con­clu­sions. The use of homo­logue arte­rial allo­grafts has ­shown ­good ­results in the treat­ment of ­serious ­aortic ­graft infec­tions ­resulting in ade­quate periph­eral vas­cu­lar­iza­tion. ­There ­have ­been no sig­nif­i­cant degen­er­a­tions to ­date, ­either in ­fresh or cryo­pre­served allo­grafts.

inizio pagina