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The Annals of Thoracic Surgery
Volume 86, Issue 1, July 2008, Pages 287-289
 
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doi:10.1016/j.athoracsur.2008.01.086    How to Cite or Link Using DOI (Opens New Window)
Copyright © 2008 The Society of Thoracic Surgeons Published by Elsevier Inc.

Case report

Successful Treatment of Infected Ascending Aortic Prosthesis by Omental Wrapping Without Graft Removal

Gordan Samoukovic MDa, Pierre-Luc Bernier MDa and Kevin Lachapelle MDCorresponding Author Contact Information, a, E-mail The Corresponding Author

aDivision of Cardiothoracic Surgery, Department of Surgery, McGill University Health Center, Montreal, Quebec, Canada

Accepted 28 January 2008. 
Available online 20 June 2008.

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A deep wound infection after a midline sternotomy is a very serious complication. The severity of it can be increased by the presence of prosthetic material. We present a case of a 76-year-old man who had an infection of an ascending aortic graft develop after a Bentall procedure. Rather than following the “traditional” surgical therapy of graft explantation and debridement, we chose to preserve the graft and protect it by omental translocation. The relative merits of this therapeutic approach are outlined and discussed. The patient was discharged on the postoperative day 6 after an uneventful postoperative course.

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