Successful surgical in situ treatment of prosthetic graft infection by staged procedure after Bentall operation and total aortic arch replacement

被引：7

作者：

Tossios, Paschalis ^{[1
]}

Karatzopoulos, Avgerinos ^{[1
]}

Tsagakis, Konstantinos ^{[2
]}

Sapalidis, Konstantinos ^{[3
]}

Triantafillopoulou, Konstantina ^{[1
]}

Kalogera, Anna ^{[4
]}

Karapanagiotidis, Georgios T. ^{[1
]}

Grosomanidis, Vasilios ^{[5
]}

机构：

[1] Aristotle Univ Thessaloniki, AHEPA Univ Hosp, Dept Cardiothorac Surg, Sch Med, GR-54006 Thessaloniki, Greece

[2] Univ Hosp Essen, Dept Thorac & Cardiovasc Surg, West German Heart Ctr, Essen, Germany

[3] Aristotle Univ Thessaloniki, AHEPA Univ Hosp, Surg Dept 3, Sch Med, GR-54006 Thessaloniki, Greece

[4] Aristotle Univ Thessaloniki, AHEPA Univ Hosp, Dept Radiol, Sch Med, GR-54006 Thessaloniki, Greece

[5] Aristotle Univ Thessaloniki, AHEPA Univ Hosp, Dept Anesthesia & Intens Care, Sch Med, GR-54006 Thessaloniki, Greece

来源：

SPRINGERPLUS | 2014年 / 3卷

关键词：

Prosthetic graft infection; Ascending aorta; Aortic arch; Omentum transposition; In situ preservation; THORACIC AORTA; MANAGEMENT;

D O I：

10.1186/2193-1801-3-172

中图分类号：

O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];

学科分类号：

07 ; 0710 ; 09 ;

摘要：

We report a case of a 29-year-old Marfan patient who developed prosthetic graft infection 10 months after Bentall operation and successive replacement of the remaining ascending aorta and the entire aortic arch for acute aortic dissection. Instead of an aggressive high-risk aortic redo procedure with removal and replacement of the infected prosthetic graft we elected a staged graft-sparing surgical approach. After 18 months of close follow-up the patient is in good condition and free from infectious sequela. This case and our review of the literature suggest that open extensive disinfection followed by tissue flap coverage is highly effective in controlling thoracic aortic prosthetic graft infection and may be considered as first-line treatment in such high-risk aortic arch redo patients.

引用

页码：1 / 4

页数：4

共 9 条

[1] Management of prosthetic graft infection after surgery of the thoracic aorta: Removal of the prosthetic graft is not necessary [J].