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European Journal of Cardio-Thoracic Surgery, Vol 9, 223-225, Copyright © 1995 by European Association for Cardio-thoracic Surgery

ARTICLES

Infected ascending aortic prosthesis: successful treatment by thoracic transposition of the greater omentum

T Krabatsch and R Hetzer
Department of Cardiothoracic and Vascular Surgery, German Heart Institute Berlin.

A patient who developed a prosthetic infection with purulent mediastinitis after replacement of the ascending aorta for acute type A dissection was successfully treated with thoracic transposition of a pedicle of the greater omentum. The patient's further postoperative course was free from infection and, 30 months later, he has not developed any complications from the graft. We consider thoracic transposition of the greater omentum to be an excellent procedure for treating mediastinitis or deep sternal wound infections after cardiac surgery.

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