Treatment of infected aortic arch aneurysm by in situ total arch replacement with omental wrapping; report of a case

We report a rare case of infected aortic arch aneurysm. 70-year-old man was admitted to our hospital for persistent high fever and blood culture demonstrated Streptococcus milleri group. Computed tomography revealed an aortic aneurysm. At the take off of the brachiocepharicartery. We performed a total aortic arch replacement with omental wrapping to prevent postoperative graft infection. The operative course was uneventful and discharged on postoperative day 65 with no signs of infection.