Pedicled omental wrapping of ascending aortic graft following mediastinitis

Two-Stage Procedure for Infected Aortic Graft Pseudoaneurysm: 10-Year Follow Up after Omental Prosthesis Wrapping.

Prosthetic graft infections with mediastinitis following aortic surgery are rare, yet represent grave complications yielding high morbidity and mortality. We present the case of a 57-year-old female patient with past history of emergent surgery for iatrogenic Type A dissection treated by supracoronary ascending aortic replacement. Four months after the initial surgery, a sternal fistula had for...

Pedicled omentum versus free omental graft for myocardial revascularization.

The most frequently used method for myocardial r e v e t i o n today is by direct arterial implantation into the heart in conjunction with use of a free omental graft. The question that is raised is whether the pedicled omentum might not be a greater s o m e of extra-cardiac blood than that supplied by the free omenlal graft. The intact omentnm has been used in the past, but never received clin...

Treatment of severe mediastinitis following cardiac surgery with omental flaps.

1 of 2 DESCRIPTION The incidence of mediastinal wound infection in patients undergoing open heart surgery can be up to 4%. 1 A subgroup of 20–30% of those patients as per El Oakley and Wright 2 develops deep sternal infections. Radical debridement is of a paramount importance, therefore sternal excision becomes a necessity in cases with severe sternal osteomyelitis. Under those circumstances va...

Catastrophic ascending aortic graft thrombosis.

A 72-year old man with an unspecified hypercoagulable disorder and prior DacronTM graft replacement of the ascending aorta, and arch presented with a myocardial infarction. A computed tomography (CT) scan demonstrated a partially thrombosed aortic graft with no ‘kinking’ (Figs 1 and 2). Clinically, there was no evidence of graft infection. Unfortunately, the patient expired and autopsy was decl...

Omental Flap for Thoracic Aortic Graft Infection