Sterile Abscess with Mediastinal Cutaneous Fistula After Total Aortic Replacement

A sterile abscess around a prosthesis or perigraft seroma is rare but sometimes occurs in after reconstructive surgery. Removal of the causative graft favored treatment, some cases, this cannot be performed, and there reluctance to treat due risk patient. Herein, we report case treated with total aortic replacement omental flap reconstruction, which fistula-forming did not resolve. Major pectoral muscle reconstruction fistula was then conducted, surgery improve discharge, new appeared at fragile site chest. This outcome suggests that repairs are required such cases.