Successful treatment of left ventricular patch infection by latissimus dorsi muscle flap covering without patch removal
| Autor: | Kunihide Nakamura, Shuhei Sakaguchi, Kousuke Mori, Koji Furukawa, Ayaka Iwasaki, Tomoaki Taniguchi, Hirohito Ishii |
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| Rok vydání: | 2020 |
| Předmět: |
Pulmonary and Respiratory Medicine
Male Reoperation medicine.medical_specialty medicine.medical_treatment Heart Ventricles 030204 cardiovascular system & hematology 030230 surgery Prosthesis Asymptomatic Surgical Flaps 03 medical and health sciences 0302 clinical medicine medicine Latissimus dorsi muscle flap Humans Thoracotomy business.industry General Medicine Middle Aged medicine.disease Mediastinitis Surgery Cardiac surgery Cardiothoracic surgery Superficial Back Muscles medicine.symptom Cardiology and Cardiovascular Medicine business Fenestration |
| Zdroj: | General thoracic and cardiovascular surgery. 69(1) |
| ISSN: | 1863-6713 |
| Popis: | Removal of the infected prosthesis is considered an essential procedure in the treatment of prosthetic graft infection following cardiovascular surgery. Here, we present a case of left ventricular patch infection following repair of left ventricular rupture that was successfully treated by coverage with a latissimus dorsi muscle flap without patch removal. A 61-year-old man underwent double-patch repair for left ventricular-free wall rupture following posterior myocardial infarction. He underwent drainage and omental transposition with re-sternotomy for postoperative mediastinitis by Candida albicans, followed by pericardial fenestration via left thoracotomy for infectious pericarditis; however, left ventricular patch infection was detected. Considering the high invasiveness of a reoperation for patch removal, we preserved and covered the patch using a left pedicled latissimus dorsi muscle flap via left thoracotomy. The postoperative course was uneventful, and the patient was asymptomatic with no signs of recurrence at 30 months. |
| Databáze: | OpenAIRE |
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