| Title | Successful treatment of infected ascending aortic prosthesis by omental wrapping without graft removal. |
| Author(s) | Samoukovic G, Bernier PL, Lachapelle K |
| Institution | Division of Cardiothoracic Surgery, Department of Surgery, McGill University Health Center, Montreal, Quebec, Canada. |
| Source | Ann Thorac Surg 2008 Jul; 86(1):287-9. |
| MeSH | Aged
Anti-Bacterial Agents
Aortic Aneurysm, Thoracic
Aortography
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation
Follow-Up Studies
Graft Survival
Humans
Male
Omentum
Prosthesis-Related Infections
Reoperation
Risk Assessment
Surgical Flaps
Tomography, X-Ray Computed
Treatment Outcome
|
| Abstract | A deep wound infection after a midline sternotomy is a very serious complication. The severity of it can be increased by the presence of prosthetic material. We present a case of a 76-year-old man who had an infection of an ascending aortic graft develop after a Bentall procedure. Rather than following the "traditional" surgical therapy of graft explantation and debridement, we chose to preserve the graft and protect it by omental translocation. The relative merits of this therapeutic approach are outlined and discussed. The patient was discharged on the postoperative day 6 after an uneventful postoperative course. |
| Language | eng |
| Pub Type(s) | Case Reports
Journal Article
|
| PubMed ID | 18573440 |
