title: Necrotizing fasciitis following endoscopic harvesting of the greater saphenous vein for coronary artery bypass graft.
abstract: The greater saphenous vein (GSV) remains the most commonly harvested conduit for revascularization in coronary artery bypass grafting (CABG). Published literature shows that minimally invasive vein harvesting techniques have a significantly lower incidence of wound infection rates than conventional open vein harvesting techniques have. We report a case of necrotizing fasciitis, an infection with a mortality rate of 30% to 50%, after endoscopic harvesting of the greater saphenous vein to be used as a conduit in a CABG procedure. Though minimally invasive vein harvesting techniques have advantages of smaller incisions and a decreased overall rate of wound infection, clinicians should be aware of this potentially lethal infection that may occur.
authors: Department of Surgery, Staten Island University Hospital, New York 10305, USA.
authors: Benjamin
authors: B
authors: Liliav
authors: Danny
authors: D
authors: Yakoub
authors: Armen
authors: A
authors: Kasabian
mesh_terms: D047549:Coronary Artery Bypass, Off-Pump / Q000379:methods; D003646:Debridement; D004724:Endoscopy / Q000009:adverse effects*; D004756:Enterobacteriaceae Infections / Q000150:complications; D019115:Fasciitis, Necrotizing / Q000175:diagnosis / Q000209:etiology* / Q000382:microbiology / Q000601:surgery; D020611:Hafnia alvei; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery; D012501:Saphenous Vein / Q000601:surgery* / Q000637:transplantation; D016038:Skin Transplantation; D013530:Surgical Wound Infection / Q000150:complications; D020858:Tissue and Organ Harvesting / Q000009:adverse effects* / Q000379:methods