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A multidisciplinary treatment strategy was adopted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      This study included 21 patients who underwent 22 procedures (median age, 67 years; interquartile range, 63.75\u201373.75). On a procedure basis, the indications were infectious aortic aneurysm in 4 procedures and prosthetic graft infection in 18 procedures. Replacement sites included the ascending aorta (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20094), aortic arch (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200911), descending aorta (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20096), and thoracoabdominal aorta (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20091). Tissue filling was performed in 12 procedures. The 30-day and operative mortality rates were 13.6% (3\/22) and 18.2% (4\/22), respectively. After excluding the three procedures with 30-day mortality, 19 procedures were included in the Kaplan\u2013Meier analyses. Aorta-related mortality occurred in 10.5% (2\/19), both due to fungal reinfection. The median follow-up was 53.6 months (IQR, 20\u201380.5; maximum, 132 months). The estimated survival rates at 1, 3, 5, and 7 years were 94%\u00b16%, 76%\u00b111%, 70%\u00b111%, and 56%\u00b115%, respectively. Xenopericardial roll graft-related structural complications included suture-line pseudoaneurysm (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20092), suture-line rupture (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20091), branch kinking (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20091), xenopericardial roll graft body pseudoaneurysm (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20091), and proximal anastomotic pseudoaneurysm (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20091). No thromboembolism or graft calcification was observed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Xenopericardial roll graft replacement was technically feasible as part of a multidisciplinary staged strategy in selected patients with thoracic and thoracoabdominal native aortic or prosthetic graft infection. However, fungal reinfection and xenopericardial roll graft-related structural complications remain important concerns, and careful long-term surveillance is required.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Trial Registration<\/jats:title>\n                    <jats:p>Not applicable. This study is a retrospective observational study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s11748-026-02386-5","type":"journal-article","created":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T14:01:33Z","timestamp":1788271293000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Mid-term outcomes of xenopericardial roll graft replacement for thoracic and thoracoabdominal native aortic and prosthetic graft infection: a single-centre retrospective study"],"prefix":"10.1007","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1357-0849","authenticated-orcid":false,"given":"Yusuke","family":"Inaba","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hidehito","family":"Endo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu","family":"Takahashi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sachito","family":"Minegishi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teppei","family":"Shimasaki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daisuke","family":"Kurai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harumasa","family":"Nakazawa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Norihiko","family":"Ohura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hirohisa","family":"Takeuchi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nobutsugu","family":"Abe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroshi","family":"Kubota","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,9,1]]},"reference":[{"key":"2386_CR1","doi-asserted-by":"publisher","first-page":"660","DOI":"10.1093\/ejcts\/ezw150","volume":"50","author":"J Umminger","year":"2016","unstructured":"Umminger J, Krueger H, Beckmann E, et al. 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