%0 Journal Article %T Emergency Repair of a Perforated Mycotic Aneurysm with a Self-made Pericardial Tube-graft %A Ahmed Kharabish %A Clarence Pingpoh %A Friedhelm Beyersdorf %A Martin Czerny %A Matthias Siepe %A Nawras Diab %J Archive of "The Thoracic and Cardiovascular Surgeon Reports". %D 2018 %R 10.1055/s-0038-1636940 %X A 63-year-old female with a history of kidney transplantation was admitted for emergency repair of a perforated mycotic aneurysm of the right subclavian artery (RSA) in combination with a paravertebral and posterior mediastinal abscess. After resection of the aneurysm and after radical local debridement, orthotopic repair was performed with a self-made pericardial tube graft from the brachiocephalic bifurcation to the thoracic outlet. The paravertebral and posterior mediastinal abscess was drained. The postoperative course was uneventful. Using a self-made readily available pericardial neo-tube enlarges the armamentarium of handling complex infective surgical scenarios and presents a smart alternative to alloplastic vascular reconstruction %K aneurysm %K cardiovascular surgery %K thoracic surgery %U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5864521/