Two-Stage Procedure for Infected Aortic Graft Pseudoaneurysm: 10-Year Follow Up after Omental Prosthesis Wrapping.

Prosthetic graft infections with mediastinitis following aortic surgery are rare, yet represent grave complications yielding high morbidity and mortality. We present the case of a 57-year-old female patient with past history of emergent surgery for iatrogenic Type A dissection treated by supracoronary ascending aortic replacement. Four months after the initial surgery, a sternal fistula had formed and due to severe bleeding emergent reoperation was required.

Long-term survival after composite mechanical aortic root replacement: a consecutive series of 448 cases.

Objective: To determine the effect of different etiologies on the outcome and mortality after mechanical composite aortic root/ascending replacement.

Methods: From February 1998 to June 2011, 448 consecutive patients (358 men, age, 52.8 ± 12.