FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2803973178> ?p ?o ?g. }

• W2803973178 endingPage "1135" @default.
• W2803973178 startingPage "1129" @default.
• W2803973178 abstract "BackgroundMycotic aneurysm of the thoracic or thoracoabdominal aorta and infection of thoracic or thoracoabdominal aortic grafts are challenging problems with high mortality. In situ reconstruction with cryopreserved allograft (CPA) avoids placement of prosthetic material in an infected field and avoids suppressive antibiotics or autologous tissue coverage.MethodsFifty consecutive patients with infection of a thoracic or thoracoabdominal aortic graft or mycotic aneurysm underwent resection and replacement with CPA from 2006 to 2016. Intravenous antibiotics were continued postoperatively for 6 weeks. Long-term suppressive antibiotics were uncommonly used (8 patients). Follow-up imaging occurred at 6, 18, and 42 months postoperatively. Initial follow-up was 93% complete.ResultsMen comprised 64% of the cohort. The mean age was 63 ± 14 years. The procedures performed included reoperations in 37 patients; replacement of the aortic root, ascending aorta, or transverse arch in 19; replacement of the descending or thoracoabdominal aorta in 27; and extensive replacement of the ascending, arch, and descending or thoracoabdominal aorta in 4. Intraoperative cultures revealed most commonly Staphylococcus (24%), Enterococcus (12%), Candida (6%), and gram-negative rods (14%). Operative mortality was 8%, stroke was 4%, paralysis was 2%, hemodialysis was 6%, and respiratory failure requiring tracheostomy was 6%. Early reoperation for pseudoaneurysm of the CPA was necessary in 4 patients. One-, 2-, and 5-year survival was 84%, 76%, and 64%, respectively.ConclusionsRadical resection and in situ reconstruction with CPA avoids placing prosthetic material in an infected field and provides good early and midterm outcomes. However, early postoperative imaging is necessary given the risk of pseudoaneurysm formation. Mycotic aneurysm of the thoracic or thoracoabdominal aorta and infection of thoracic or thoracoabdominal aortic grafts are challenging problems with high mortality. In situ reconstruction with cryopreserved allograft (CPA) avoids placement of prosthetic material in an infected field and avoids suppressive antibiotics or autologous tissue coverage. Fifty consecutive patients with infection of a thoracic or thoracoabdominal aortic graft or mycotic aneurysm underwent resection and replacement with CPA from 2006 to 2016. Intravenous antibiotics were continued postoperatively for 6 weeks. Long-term suppressive antibiotics were uncommonly used (8 patients). Follow-up imaging occurred at 6, 18, and 42 months postoperatively. Initial follow-up was 93% complete. Men comprised 64% of the cohort. The mean age was 63 ± 14 years. The procedures performed included reoperations in 37 patients; replacement of the aortic root, ascending aorta, or transverse arch in 19; replacement of the descending or thoracoabdominal aorta in 27; and extensive replacement of the ascending, arch, and descending or thoracoabdominal aorta in 4. Intraoperative cultures revealed most commonly Staphylococcus (24%), Enterococcus (12%), Candida (6%), and gram-negative rods (14%). Operative mortality was 8%, stroke was 4%, paralysis was 2%, hemodialysis was 6%, and respiratory failure requiring tracheostomy was 6%. Early reoperation for pseudoaneurysm of the CPA was necessary in 4 patients. One-, 2-, and 5-year survival was 84%, 76%, and 64%, respectively. Radical resection and in situ reconstruction with CPA avoids placing prosthetic material in an infected field and provides good early and midterm outcomes. However, early postoperative imaging is necessary given the risk of pseudoaneurysm formation." @default.
• W2803973178 created "2018-06-01" @default.
• W2803973178 creator A5028413924 @default.
• W2803973178 creator A5034436300 @default.
• W2803973178 creator A5046331713 @default.
• W2803973178 creator A5061256750 @default.
• W2803973178 creator A5064376404 @default.
• W2803973178 creator A5067155670 @default.
• W2803973178 creator A5083284026 @default.
• W2803973178 date "2018-10-01" @default.
• W2803973178 modified "2023-10-14" @default.
• W2803973178 title "Repair of Thoracic and Thoracoabdominal Mycotic Aneurysms and Infected Aortic Grafts Using Allograft" @default.
• W2803973178 cites W1197474456 @default.
• W2803973178 cites W1848252914 @default.
• W2803973178 cites W1965369838 @default.
• W2803973178 cites W1976654998 @default.
• W2803973178 cites W1988492938 @default.
• W2803973178 cites W1988990639 @default.
• W2803973178 cites W1997303372 @default.
• W2803973178 cites W1997985320 @default.
• W2803973178 cites W1999760690 @default.
• W2803973178 cites W2005615073 @default.
• W2803973178 cites W2008767904 @default.
• W2803973178 cites W2012971651 @default.
• W2803973178 cites W2027321177 @default.
• W2803973178 cites W2042413048 @default.
• W2803973178 cites W2059092789 @default.
• W2803973178 cites W2065335529 @default.
• W2803973178 cites W2068462772 @default.
• W2803973178 cites W2072577055 @default.
• W2803973178 cites W2086521373 @default.
• W2803973178 cites W2089077011 @default.
• W2803973178 cites W2099788553 @default.
• W2803973178 cites W2106925435 @default.
• W2803973178 cites W2107166593 @default.
• W2803973178 cites W2113980135 @default.
• W2803973178 cites W2116784702 @default.
• W2803973178 cites W2134556758 @default.
• W2803973178 cites W2141386508 @default.
• W2803973178 cites W2155713137 @default.
• W2803973178 cites W2160641151 @default.
• W2803973178 cites W2168024309 @default.
• W2803973178 cites W2171308159 @default.
• W2803973178 cites W2181009606 @default.
• W2803973178 cites W2529883298 @default.
• W2803973178 cites W2597328131 @default.
• W2803973178 cites W3021762268 @default.
• W2803973178 cites W4233150193 @default.
• W2803973178 cites W4242678253 @default.
• W2803973178 cites W4382873760 @default.
• W2803973178 doi "https://doi.org/10.1016/j.athoracsur.2018.04.050" @default.
• W2803973178 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/29777669" @default.
• W2803973178 hasPublicationYear "2018" @default.
• W2803973178 type Work @default.
• W2803973178 sameAs 2803973178 @default.
• W2803973178 citedByCount "20" @default.
• W2803973178 countsByYear W28039731782019 @default.
• W2803973178 countsByYear W28039731782020 @default.
• W2803973178 countsByYear W28039731782021 @default.
• W2803973178 countsByYear W28039731782022 @default.
• W2803973178 countsByYear W28039731782023 @default.
• W2803973178 crossrefType "journal-article" @default.
• W2803973178 hasAuthorship W2803973178A5028413924 @default.
• W2803973178 hasAuthorship W2803973178A5034436300 @default.
• W2803973178 hasAuthorship W2803973178A5046331713 @default.
• W2803973178 hasAuthorship W2803973178A5061256750 @default.
• W2803973178 hasAuthorship W2803973178A5064376404 @default.
• W2803973178 hasAuthorship W2803973178A5067155670 @default.
• W2803973178 hasAuthorship W2803973178A5083284026 @default.
• W2803973178 hasBestOaLocation W28039731781 @default.
• W2803973178 hasConcept C141071460 @default.
• W2803973178 hasConcept C2775901891 @default.
• W2803973178 hasConcept C2776098176 @default.
• W2803973178 hasConcept C2776864027 @default.
• W2803973178 hasConcept C2777323849 @default.
• W2803973178 hasConcept C2778249958 @default.
• W2803973178 hasConcept C2779980429 @default.
• W2803973178 hasConcept C2780663194 @default.
• W2803973178 hasConcept C2781285907 @default.
• W2803973178 hasConcept C71924100 @default.
• W2803973178 hasConceptScore W2803973178C141071460 @default.
• W2803973178 hasConceptScore W2803973178C2775901891 @default.
• W2803973178 hasConceptScore W2803973178C2776098176 @default.
• W2803973178 hasConceptScore W2803973178C2776864027 @default.
• W2803973178 hasConceptScore W2803973178C2777323849 @default.
• W2803973178 hasConceptScore W2803973178C2778249958 @default.
• W2803973178 hasConceptScore W2803973178C2779980429 @default.
• W2803973178 hasConceptScore W2803973178C2780663194 @default.
• W2803973178 hasConceptScore W2803973178C2781285907 @default.
• W2803973178 hasConceptScore W2803973178C71924100 @default.
• W2803973178 hasIssue "4" @default.
• W2803973178 hasLocation W28039731781 @default.
• W2803973178 hasLocation W28039731782 @default.
• W2803973178 hasLocation W28039731783 @default.
• W2803973178 hasOpenAccess W2803973178 @default.
• W2803973178 hasPrimaryLocation W28039731781 @default.
• W2803973178 hasRelatedWork W1970684556 @default.
• W2803973178 hasRelatedWork W2039311403 @default.

• next