Mediastinitis following graft replacement of the ascending aorta: conservative approach by omental transposition.

Abstract

A 57-year-old patient underwent prosthetic replacement of a previously implanted ascending aorta graft and developed a periprosthetic purulent collection 1 month later. He was successfully treated by debridement of infected tissues, antiseptic irrigation and transposition of an omental flap. The postoperative course was uneventful. A chest computed tomography scan performed 15 months later showed no signs of perigraft infection. Prompt conservative surgical treatment including omental transposition can be effective in the treatment of mediastinitis following graft replacement of the ascending aorta.

• Authors: N Luciani, E Lapenna, M De Bonis, G F Possati
• Journal: European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery (Eur J Cardiothorac Surg) Vol. 20 Issue 2 Pg. 418-20 (Aug 2001) ISSN: 1010-7940 [Print] Germany
• PMID: 11463570 (Publication Type: Case Reports, Journal Article)

Topics

• Aortic Dissection (surgery)
• Aortic Aneurysm (surgery)
• Blood Vessel Prosthesis Implantation (adverse effects)
• Debridement
• Humans
• Male
• Mediastinitis (diagnostic imaging, etiology)
• Middle Aged
• Omentum (transplantation)
• Therapeutic Irrigation
• Tomography, X-Ray Computed