Salvage of infected vascular graft via ‘perivascular venous banding’ technique coupled with rectus abdominis myocutaneous muscle flap transposition
| Autor: | V. Di Cintio, G Caravelli, S Pompei, F De Santis, C.M. Chaves Brait |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Reoperation
medicine.medical_specialty Prosthesis-Related Infections Rectus Abdominis Muscle flap Postoperative Hemorrhage Surgical Flaps Transposition (music) Blood Vessel Prosthesis Implantation Humans Medicine Pseudomonas Infections Saphenous Vein Radiology Nuclear Medicine and imaging Wound Healing Groin business.industry Great saphenous vein General Medicine Middle Aged Infected wound Anti-Bacterial Agents Blood Vessel Prosthesis Surgery Treatment Outcome medicine.anatomical_structure Pseudomonas aeruginosa Female Tomography X-Ray Computed Cardiology and Cardiovascular Medicine business Wound healing Vascular graft |
| Zdroj: | Vascular. 21:17-22 |
| ISSN: | 1708-539X 1708-5381 |
| Popis: | This is the case of a severe Pseudomonas aeruginosa biological vascular graft infection, completely involving the perianastomotic tract of a femoro — femoral crossover bypass and resulting in repeated bleeding from the offended vessel wall. After the failure of a sartorious rotational muscle flap transposition into the infected groin wound, this ‘high-grade’ vascular graft infection was finally treated successfully by wrapping a great saphenous vein patch reinforcement circumferentially around the damaged biological vascular conduit and filling the infected wound with a rectus abdominis myocutaneous muscle flap transposition. The aim of this report is to illustrate this novel, to our knowledge, ‘perivascular venous banding’ technique and to evaluate the prospective of future testing of this surgical procedure. Starting from this singular case, we will also review the role of the rotational muscle flaps in the conservative management of major vascular graft infections. |
| Databáze: | OpenAIRE |
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