BACKGROUND: Which graft material is the optimal graft material for the treatment of @entity5880 and aortic graft infections is still a matter of controversy. Orthotopic aortic reconstruction with intraoperatively prepared xenopericardial roll grafts without omentopexy was performed as the "initial" operation to treat @entity281 or as a "rescue" operation to treat graft infection. Mid-term outcomes were evaluated. METHODS: Between 2009 and 2013, orthotopic xenopericardial roll graft replacement was performed to treat eight @entity1 (male/female: 6/2; mean age: 69.5 [55-80] yr). Graft material: @entity1641 / @entity291 pericardium: 2/6; type of operation: initial 4/rescue 4; omentopexy 0. Additional operation: esophagectomy 2. Mean follow-up period: 2.6        1.6 (1.1-5.1) years. RESULTS: Replacement: ascending 3, arch 1 (reconstruction of neck vessels with small xenopericardial roll grafts), descending 3, and thoracoabdominal 1. Pathogens: @entity794 2, MSSA 1, Candida 1, @entity526 1, oral bacillus 1, and culture negative 2. Postoperative local recurrence of infection: 0. Graft-related complications: stenosis 0, calcification 0, non-infectious @entity2849 of @entity254 2 (surgical repair: 1/TEVAR 1). In-hospital mortality: 2 (MOF: initial 1/rescue 1); Survival rate exclusive of in-hospital deaths (~3 y): 100  %, but one @entity1 died of @entity2 (3.6  yr). CONCLUSIONS: Because xenopericardial roll grafts are not composed of synthetic material, the replacement procedure is simpler and less invasive than the standard procedure. Based on the favorable results obtained, this procedure may have the possibility to serve as an option for the treatment of @entity281 and aortic graft infections not only as a "rescue" treatment but as an "initial" treatment as well.

Xenopericardial roll graft replacement for XXXX and graft infections of the aorta.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity5880 :: ('MESH:D000785', 'Disease') :: ['infected aortic aneurysms'] @entity1641 :: ('9796', 'Species') :: ['equine'] @entity254 :: ('MESH:C563598', 'Disease') :: ['anastomosis'] @entity2 :: ('MESH:D008175', 'Disease') :: ['lung cancer'] @entity794 :: ('1280', 'Species') :: ['MRSA'] @entity281 :: ('MESH:D007239', 'Disease') :: ['aortic infection', 'aortic infections'] @entity291 :: ('9913', 'Species') :: ['bovine'] @entity2849 :: ('MESH:D017541', 'Disease') :: ['pseudoaneurysm'] @entity526 :: ('562', 'Species') :: ['E. coli']
@entity2849 :: (MESH:D017541,Disease) :: ['infectious pseudoaneurysms']
