Combined therapies for composite graft infection after Bentall's procedure.
We present a patient who suffered from composite graft infection and mediastinitis. After replacement of the infected composite graft, in addition to administration of antibiotics, continuous irrigation of the mediastinum with solutions containing povidone-iodine and cefazolin sodium and transposition of the greater omentum were performed. His postoperative course was uneventful. Combined therapies including mediastinal irrigation and omental transposition should be considered after an operation for composite graft infection complicated with mediastinitis.
Takano
T
T
Department of Surgery, Shinshu University School of Medicine, Matsumoto, Japan.
Fukaya
Y
Y
Nakano
H
H
Kuroda
H
H
Amano
J
J
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000891:Anti-Infective Agents, Local / Q000008:administration & dosage; D019917:Blood Vessel Prosthesis Implantation; D002437:Cefazolin / Q000627:therapeutic use; D002511:Cephalosporins / Q000627:therapeutic use; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D008480:Mediastinitis / Q000150:complications; D008875:Middle Aged; D009852:Omentum / Q000601:surgery; D011206:Povidone-Iodine / Q000008:administration & dosage; D016459:Prosthesis-Related Infections / Q000628:therapy*; D013203:Staphylococcal Infections / Q000628:therapy*; D007507:Therapeutic Irrigation
D000900:Anti-Bacterial Agents; D000891:Anti-Infective Agents, Local; D002511:Cephalosporins; D011206:Povidone-Iodine; D002437:Cefazolin