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Published on: July 12, 2010
[Re-translocation method using bilateral internal thoracic arteries; report of a case]
Satomi Inoue1, T Yamaguchi, T Saito
1Department of Thoracic and Cardiovascular Surgery, Hokkaido Prefectural Kitami Hospital, Kitami, Japan.
Kyobu Geka. the Japanese Journal of Thoracic Surgery
|December 14, 2006
Summary
A patient developed complications after a Danielson translocation for infective endocarditis. Re-translocation using bilateral internal thoracic arteries (ITAs) was successful, highlighting the need for close post-operative observation.
Area of Science:
- Cardiovascular Surgery
- Infective Endocarditis Management
- Aortic Surgery
Background:
- Danielson translocation is a complex procedure for severe infective endocarditis.
- Complications like pseudoaneurysms and graft issues can arise years post-surgery.
- This case highlights a specific complication following this procedure.
Observation:
- A 43-year-old male presented with peri-graft pseudoaneurysm and aorto-left ventricle communication 5 years after initial Danielson translocation.
- The patient required re-translocation surgery.
- Bilateral internal thoracic arteries (ITAs) were utilized for the re-translocation.
Findings:
- The re-translocation using bilateral ITAs resulted in a reasonable postoperative course.
- The patient was discharged following the successful re-translocation.
- The study underscores potential long-term complications of Danielson translocation.
Implications:
- Danielson translocation, while useful for severe infective endocarditis, carries risks of pseudoaneurysms and bypass graft complications.
- Close postoperative monitoring is crucial after this surgical technique.
- Considering bilateral ITAs for the initial translocation may be a prudent strategy to mitigate future risks.
