title: Open retroperitoneal irrigation for graft infection after thoracoabdominal aortic aneurysm repair.
abstract: 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.
authors.affiliation: Department of Cardiothoracic Surgery, Faculty of Medicine, University of Tokyo, Tokyo, Japan.
authors.forename: Mikio
authors.initials: M
authors.lastname: Ninomiya
authors.forename: Tsuyoshi
authors.initials: T
authors.lastname: Taketani
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Kubota
authors.forename: Toshiya
authors.initials: T
authors.lastname: Ohtsuka
authors.forename: Shinichi
authors.initials: S
authors.lastname: Takamoto
mesh_terms: 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