Mediastinitis following graft replacement of the ascending aorta: conservative approach by omental transposition.
Mediastinitis following graft replacement of the ascending aorta: conservative approach by omental transposition.
复制标题
升主动脉移植物置换后的纵隔炎：采用大网膜转位的保守方法。
DOI：
10.1016/s1010-7940(01)00789-8
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发表时间：
2001
期刊：
影响因子：
--
通讯作者：
G. Possati
中科院分区：
文献类型：
--
作者：
N. Luciani;E. Lapenna;M. Bonis;G. Possati
一位57岁的患者接受了先前植入的升主动脉移植物的假体置换，并在1个月后出现假体周围脓液收集。通过清创感染组织、消毒冲洗和移位大网膜皮瓣，成功地治疗了他。术后病程平稳。15个月后进行的胸部计算机断层扫描显示，没有移植物周围感染的迹象。对于升主动脉移植物置换术后的纵隔炎，及时保守的手术治疗包括大网膜移位术是有效的。
A 57-year-old patient underwent prosthetic replacement of a previously implanted ascending aorta graft and developed a periprosthetic purulent collection 1 month later. He was successfully treated by debridement of infected tissues, antiseptic irrigation and transposition of an omental flap. The postoperative course was uneventful. A chest computed tomography scan performed 15 months later showed no signs of perigraft infection. Prompt conservative surgical treatment including omental transposition can be effective in the treatment of mediastinitis following graft replacement of the ascending aorta.