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1.  Surgical Treatment of Multiple Mycotic Aneurysms in the Ascending Aorta, Aortic Arch, and Descending Aorta 
Texas Heart Institute Journal  2003;30(3):225-228.
We report a clinical case of multiple mycotic aneurysms, in the ascending aorta, aortic arch, and descending aorta. The patient underwent surgery to replace the ascending aorta and aortic arch by means of a highly modified “elephant trunk” technique and with the aid of arterial cannulation from the right subclavian artery, which provided antegrade cerebral perfusion. Samples of purulent material taken from the aneurysmal wall yielded cultures positive for Staphylococcus aureus. The patient was treated with antibiotics for 6 weeks and then underwent a 2nd procedure for the aneurysmal resection of the descending thoracic aorta and the abdominal aorta, through a thoracic laparo-phrenicectomy. We comment on the clinical and surgical aspects of the case. (Tex Heart Inst J 2003;30:225–8)
PMCID: PMC197323  PMID: 12959208
Aneurysm, infected/surgery; staphylococcal infections/complications; Staphylococcus aureus
2.  Chronic Dissection of the Anterior Tibial Artery 
Texas Heart Institute Journal  1991;18(3):223-225.
We present a clinical case of chronic dissection of the anterior tibial artery leading to acute aneurysmal dilatation. Our patient, a 22-year-old man, had a history of trauma at the middle third of his left leg. Because of impending ischemia, he was diagnosed by emergency arteriography. We ligated the proximal and distal ends of the dissection and used a reversed saphenous vein for a short end-to-end bypass.
Although the evolution of this dilatation had been silent, its clinical presentation was spectacular. The case is worthy of attention because of its extreme rarity, both as a dissection of a peripheral artery caused by trauma and as an aneurysmal dilatation at tibial level. (Texas Heart Institute Journal 1991;18:223-5)
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PMCID: PMC325002  PMID: 15227485
Aneurysm, dissecting/anterior tibial artery; ligation; reversed saphenous vein bypass

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