Successful in situ treatment of infected aortic arch prosthesis by omental wrapping.
A 67-year-old man who underwent total aortic arch graft replacement with coronary artery bypass grafting developed postoperative Serratia mediastinitis. Re-operative debridement and irrigation were carried out. An infected aortic arch prosthesis was successfully treated by in situ disinfection followed by complete omental wrapping.
Nishimura
Yoshiharu
Y
Department of Thoracic and Cardiovascular Surgery, Wakayama Medical University, 811-1, Kimiidera, Wakayama 641-0012, Japan. nishim-y@wakayama-med.ac.jp
Okamura
Yoshitaka
Y
Hiramatsu
Takeshi
T
Mori
Hideaki
H
Hayashi
Hiroki
H
Komori
Shigeru
S
D000368:Aged; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D001013:Aorta, Thoracic; D001014:Aortic Aneurysm / Q000601:surgery*; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects; D001026:Coronary Artery Bypass; D003646:Debridement; D006801:Humans; D008297:Male; D008480:Mediastinitis / Q000209:etiology*; D009203:Myocardial Infarction / Q000601:surgery; D009852:Omentum / Q000637:transplantation*; D016459:Prosthesis-Related Infections / Q000188:drug therapy / Q000601:surgery*; D012086:Reoperation; D016868:Serratia Infections / Q000209:etiology*; D013529:Surgical Wound Dehiscence / Q000209:etiology / Q000601:surgery; D007507:Therapeutic Irrigation
D000900:Anti-Bacterial Agents