Omental pedicle graft in the management of infected ascending aortic prostheses.
Two patients had mediastinal infections with chronic draining sinus tracts that involved a vascular prosthesis in the ascending aorta. In 1 patient, a false mycotic aneurysm developed and in the other, a beginning rupture of the proximal suture line. In both patients, the infection was cured by replacing the infected aortic prosthesis combined with wrapping the new prosthesis with a pedicled omental graft. An omental graft was used to protect the vascular prosthesis and minimize the risk of recurrent infection.
Miller
D W
DW
Swedish Hospital Medical Center, Seattle, WA.
Johnson
D D
DD
D000328:Adult; D000784:Aortic Dissection / Q000150:complications / Q000601:surgery; D001011:Aorta / Q000601:surgery*; D001014:Aortic Aneurysm / Q000150:complications / Q000601:surgery; D001022:Aortic Valve Insufficiency / Q000150:complications / Q000601:surgery; D001424:Bacterial Infections / Q000601:surgery; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008297:Male; D009852:Omentum / Q000637:transplantation*; D010460:Peptococcus; D010462:Peptostreptococcus; D012086:Reoperation; D013203:Staphylococcal Infections / Q000601:surgery*; D013524:Surgical Flaps; D013530:Surgical Wound Infection / Q000601:surgery*; D013536:Suture Techniques