Kyobu geka. The Japanese journal of thoracic surgery
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We report a case of a 67-year-old man with Salmonella infected aortic arch aneurysm. The patient presented with persistent high fever, chest pain, back pain and hoarseness. Laboratory studies showed the presence of severe inflammation. ⋯ Postoperative course was uneventful. The patient was discharged on the 60th postoperative day. He continues to take oral antibiotics.
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We have developed and routinely performed the total arch graft implantation with open stent-graft placement for aortic arch aneurysm or dissection. This method is easy and respiratory-troubleless method, because of ascending and arch replacement with 4 branched graft and descending graft implantation with stent-graft from opened aortic arch. This method is useful for the patient with aortic arch diseases concomitant with coronary artery bypass candidate, respiratory dysfunction and aortic dissection.