Open retroperitoneal irrigation for graft infection after thoracoabdominal aortic aneurysm repair.
A successfully-treated case of graft infection after thoracoabdominal aortic repair is reported. A 61-year-old male underwent graft replacement of a Crawford type IV thoracoabdominal aortic aneurysm and developed graft infection due to methicillin-resistant Staphylococcus aureus. After 35 days' open retroperitoneal irrigation, the culture around the graft turned negative, and omental transposition and skin flap transfer were successfully conducted. The long-term open retroperitoneal irrigation could be conducted without significant complications, and it was very effective in controlling the severe infection.
Ninomiya
Mikio
M
Department of Cardiothoracic Surgery, Faculty of Medicine, University of Tokyo, Tokyo, Japan.
Taketani
Tsuyoshi
T
Kubota
Hiroshi
H
Ohtsuka
Toshiya
T
Takamoto
Shinichi
S
D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D016459:Prosthesis-Related Infections / Q000628:therapy*; D012187:Retroperitoneal Space; D013203:Staphylococcal Infections / Q000628:therapy*; D007507:Therapeutic Irrigation