Graft for mycotic thoracic aortic aneurysm: omental wrapping to prevent infection
| Autor: | Satoshi Yamashiro, Yukio Kuniyoshi, Kazufumi Miyagi, Kageharu Koja, Tooru Uezu, Katuya Arakaki |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
Pulmonary and Respiratory Medicine
Adult Male medicine.medical_specialty Prosthesis-Related Infections 030204 cardiovascular system & hematology Thoracic aortic aneurysm Surgical Flaps 03 medical and health sciences Aortic aneurysm Blood Vessel Prosthesis Implantation 0302 clinical medicine Aneurysm medicine.artery Ascending aorta medicine Thoracic aorta Humans Survival rate Aged Aortic Aneurysm Thoracic business.industry General Medicine Middle Aged medicine.disease Surgery Survival Rate Treatment Outcome 030228 respiratory system Cardiothoracic surgery Shock (circulatory) cardiovascular system Female Radiology medicine.symptom Cardiology and Cardiovascular Medicine business Aneurysm Infected Omentum Follow-Up Studies |
| Zdroj: | Asian cardiovascularthoracic annals. 13(1) |
| ISSN: | 0218-4923 |
| Popis: | Nine cases of mycotic thoracic aortic aneurysm were treated surgically between July 1995 and March 2003. The aneurysms were located in the ascending aorta in 1 patient, the descending thoracic aorta in 5, and the thoracoabdominal aorta in 3. Preoperatively, 3 patients were in shock due to rupture of the aneurysm. All patients underwent aneurysmectomy and in-situ graft placement. In 5 patients, the graft was covered with a pedicled omental flap to prevent postoperative graft infection. There were 2 hospital deaths: one patient died of multi-organ failure, and the other died from intrathoracic bleeding. After discharge, one patient died from intrathoracic bleeding 3 months after surgery. These 3 patients had not received omental wrapping. Postoperative graft infection did not occur in the 6 surviving patients during a mean follow-up period of 4.0 ± 3.1 years. It was concluded that covering the prosthetic graft with a pedicled omental flap may help prevent postoperative graft infection and improve the surgical results. |
| Databáze: | OpenAIRE |
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