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Vacuum-assisted closure system for the treatment of mediastinitis after total aortic arch replacement.
- Source :
-
The Japanese journal of thoracic and cardiovascular surgery : official publication of the Japanese Association for Thoracic Surgery = Nihon Kyobu Geka Gakkai zasshi [Jpn J Thorac Cardiovasc Surg] 2005 Dec; Vol. 53 (12), pp. 638-40. - Publication Year :
- 2005
-
Abstract
- A 77-year-old man developed deep sternal wound infection with Enterobacter cloacae 4 days after total aortic arch replacement for distal aortic arch aneurysm. Reexploration and open drainage of the mediastinum was carried out for 4 days, and the vacuum-assisted closure system was applied and continued for 10 days. During the treatment, granulation formation and neovascularization was apparently enhanced which lead us to perform omental transfer and chest closure on the 18th postoperative day. The patient has been free from recurrent sign of mediastinal infection or graft infection for the 19 months of the follow-up period.
- Subjects :
- Aortic Dissection diagnosis
Aortic Dissection surgery
Aortic Aneurysm, Thoracic diagnosis
Aortic Aneurysm, Thoracic surgery
Blood Vessel Prosthesis Implantation methods
Debridement methods
Follow-Up Studies
Humans
Male
Mediastinitis etiology
Omentum transplantation
Risk Assessment
Sternum physiopathology
Surgical Wound Infection diagnosis
Suture Techniques
Vacuum
Wound Healing physiology
Blood Vessel Prosthesis Implantation adverse effects
Mediastinitis therapy
Sternum surgery
Surgical Flaps
Surgical Wound Infection therapy
Subjects
Details
- Language :
- English
- ISSN :
- 1344-4964
- Volume :
- 53
- Issue :
- 12
- Database :
- MEDLINE
- Journal :
- The Japanese journal of thoracic and cardiovascular surgery : official publication of the Japanese Association for Thoracic Surgery = Nihon Kyobu Geka Gakkai zasshi
- Publication Type :
- Academic Journal
- Accession number :
- 16408469
- Full Text :
- https://doi.org/10.1007/BF02665075