# In Situ Replacement of Infected Pseudoaneurysm of the Aortic Arch and Brachiocephalic Trunk Using Surgeon-Made BioIntegral Graft

## TL;DR

A 61-year-old patient successfully recovered from a life-threatening aortic infection using a custom surgical graft made by the surgeon.

## Contribution

A novel surgical technique using a surgeon-made graft for in situ reconstruction of infected aortic pseudoaneurysms is presented.

## Key findings

- The patient fully recovered after in situ repair of an infected aortic pseudoaneurysm.
- A surgeon-made tube graft combined with a porcine pericardium patch was effective for reconstruction.
- Self-made grafts may offer advantages in treating complex aortic infections.

## Abstract

An infection and aortic arch pseudoaneurysm can be fatal if not emergently and adequately treated. Optimal surgical procedures and optimal graft materials remain controversial. We describe a 61-year-old patient who underwent in situ repair of the infected pseudoaneurysm of the aortic arch. A porcine pericardium patch (BioIntegral Surgical Inc., Mississauga, ON, Canada) was used to reconstruct the aortic wall, followed by the reconstruction of the brachiocephalic trunk using a surgeon-made tube. The patient made a full recovery. Self-made tube grafts for in situ reconstruction offer many advantages and may be a valuable option.