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Eur J Cardiothorac Surg 2001;20:418-420
© 2001 Elsevier Science NL

Case report

Mediastinitis following graft replacement of the ascending aorta: conservative approach by omental transposition

Department of Cardiac Surgery, "Policlinico A. Gemelli" University Hospital, Catholic University of The Sacred Heart, Rome, Italy

Received 5 January 2001; received in revised form 27 April 2001; accepted 3 May 2001.

Corresponding author. Viale Suzzani, 227, 20162 Milan, Italy. Tel.: +39-02-6431382; fax: +39-02-6431382
e-mail: micheledebonis{at}tiscalinet.it

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.

Key Words: Mediastinitis • Ascending aorta prosthesis • Omental transposition

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