Successful treatment of infected ascending aortic prosthesis by omental wrapping without graft removal.
A deep wound infection after a midline sternotomy is a very serious complication. The severity of it can be increased by the presence of prosthetic material. We present a case of a 76-year-old man who had an infection of an ascending aortic graft develop after a Bentall procedure. Rather than following the "traditional" surgical therapy of graft explantation and debridement, we chose to preserve the graft and protect it by omental translocation. The relative merits of this therapeutic approach are outlined and discussed. The patient was discharged on the postoperative day 6 after an uneventful postoperative course.
Division of Cardiothoracic Surgery, Department of Surgery, McGill University Health Center, Montreal, Quebec, Canada.
Gordan
G
Samoukovic
Pierre-Luc
PL
Bernier
Kevin
K
Lachapelle
D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects* / Q000379:methods; D005500:Follow-Up Studies; D006085:Graft Survival; D006801:Humans; D008297:Male; D009852:Omentum / Q000637:transplantation*; D016459:Prosthesis-Related Infections / Q000175:diagnosis / Q000188:drug therapy / Q000601:surgery*; D012086:Reoperation; D018570:Risk Assessment; D013524:Surgical Flaps; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents