[Valve replacement after omentum flap for medicastinitis;report of a case].
A 71-year-old woman presented with heart failure due to aortic and mitral valve regurgitation. She had developed midiastinitis and graft infection, 15 months before, following replacement of the ascending aorta for acute aortic dissection. Omentum flap operation had been performed and the infection had been controlled. This time, she underwent re-thoracotomy, and replacement of ascending aorta, aortic valve replacement and mitral valve plasty were performed. The omenal tissue was exfoliated without any damage to the heart or the great vessels by using an ultrasonic scalpel. As the omental tissue was viable, it was placed back in the mediastinal space.
Department of Cardiovascular Surgery, Saitama Medical Center, Jichi Medical University, Saitama, Japan.
Koichi
K
Adachi
Atsushi
A
Yamaguchi
Koichi
K
Yuri
Harunobu
H
Matsumoto
Satoshi
S
Ito
Naoyuki
N
Kimura
Hideo
H
Adachi
D000368:Aged; D001022:Aortic Valve Insufficiency / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D006348:Cardiac Surgical Procedures; D005260:Female; D006801:Humans; D009205:Myocarditis / Q000601:surgery; D009852:Omentum / Q000601:surgery; D011183:Postoperative Complications; D012092:Replantation; D013524:Surgical Flaps