title: Vacuum-assisted closure therapy for salvaging a methicillin-resistant Staphylococcus aureus-infected prosthetic graft.
abstract: Infection of a vascular prosthesis after a bypass surgery is relatively rare. However, once developed, serious complications can occur, such as bleeding, sepsis, and organ ischemia, occasionally resulting in leg amputation or even death in some cases. The treatment of a vascular prosthesis infection involves the necessary removal of the infected graft; subsequently, an extra-anatomical bypass surgery is often considered. We herein report a case in which postoperative methicillin-resistant Staphylococcus aureus infection caused dehiscence of the femoral vessels and exposure of the graft vessel and anastomosed area. The infected tissue was surgically removed (debridement), and the patient's condition was successfully treated by the application of a nonadherent dressing and vacuum-assisted closure therapy combined with the bridging technique.
authors: Division of Cardiovascular Surgery, Nagasaki University Hospital, 1-7-1 Sakamoto, Nagasaki 852-8108, Japan. Electronic address: hisata.y@gmail.com.
authors: Yoichi
authors: Y
authors: Hisata
authors: Division of Cardiovascular Surgery, Nagasaki University Hospital, 1-7-1 Sakamoto, Nagasaki 852-8108, Japan.
authors: Koji
authors: K
authors: Hashizume
authors: Division of Cardiovascular Surgery, Nagasaki University Hospital, 1-7-1 Sakamoto, Nagasaki 852-8108, Japan.
authors: Kazuyoshi
authors: K
authors: Tanigawa
authors: Division of Cardiovascular Surgery, Nagasaki University Hospital, 1-7-1 Sakamoto, Nagasaki 852-8108, Japan.
authors: Takashi
authors: T
authors: Miura
authors: Division of Cardiovascular Surgery, Nagasaki University Hospital, 1-7-1 Sakamoto, Nagasaki 852-8108, Japan.
authors: Tomohiro
authors: T
authors: Odate
authors: Division of Cardiovascular Surgery, Nagasaki University Hospital, 1-7-1 Sakamoto, Nagasaki 852-8108, Japan.
authors: Yuichi
authors: Y
authors: Tasaki
authors: Division of Cardiovascular Surgery, Nagasaki University Hospital, 1-7-1 Sakamoto, Nagasaki 852-8108, Japan.
authors: Kiyoyuki
authors: K
authors: Eishi
mesh_terms: D019917:Blood Vessel Prosthesis Implantation; D006801:Humans; D008297:Male; D055624:Methicillin-Resistant Staphylococcus aureus; D008875:Middle Aged; D054843:Negative-Pressure Wound Therapy; D011150:Popliteal Artery / Q000601:surgery; D011183:Postoperative Complications; D016879:Salvage Therapy / Q000379:methods; D013203:Staphylococcal Infections / Q000628:therapy*
keywords: infected prosthetic graft; methicillin-resistant Staphylococcus aureus; wound-closure techniques