Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Treatment of deep infection following thoracic aorta graft replacement without graft removal
Autore:
Kaneda, T; Iemura, J; Oka, H; Inoue, T; Zhang, ZW; Matsumoto, T; Onoe, M; Otaki, M; Oku, H; Ishigami, N; Aoshima, M;
Indirizzi:
Kinki Univ, Sch Med, Dept Cardiovasc Surg, Osaka 5898511, Japan Kinki Univ Osaka Japan 5898511 ept Cardiovasc Surg, Osaka 5898511, Japan Shizuoka Prefectural Gen Hosp, Dept Cardiovasc Surg, Shizuoka, Japan Shizuoka Prefectural Gen Hosp Shizuoka Japan vasc Surg, Shizuoka, Japan
Titolo Testata:
ANNALS OF VASCULAR SURGERY
fascicolo: 4, volume: 15, anno: 2001,
pagine: 430 - 434
SICI:
0890-5096(200107)15:4<430:TODIFT>2.0.ZU;2-X
Fonte:
ISI
Lingua:
ENG
Soggetto:
DELAYED STERNAL CLOSURE; ASCENDING AORTA; GREATER OMENTUM; MEDIASTINITIS; TRANSPOSITION; PATIENT;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
17
Recensione:
Indirizzi per estratti:
Indirizzo: Kaneda, T Kinki Univ, Sch Med, Dept Cardiovasc Surg, 377-2 Ohno Higashi, Osaka 5898511, Japan Kinki Univ 377-2 Ohno Higashi Osaka Japan 5898511 898511, Japan
Citazione:
T. Kaneda et al., "Treatment of deep infection following thoracic aorta graft replacement without graft removal", ANN VASC S, 15(4), 2001, pp. 430-434

Abstract

Deep infection following thoracic aortic replacement constitutes an extremely serious and life-threatening complication, and its treatment remains a challenge to surgeons. We report our experience involving five patients in whom deep infection occurred around the graft. Four of the five patients were treated by emergency surgery and one was treated by elective surgery. Surgical procedures performed including hemiarch replacement in one case, total arch replacement in one case, suspension of aortic valve and ascending aorta replacement in one case, Bentall procedure in one case, and descendingaorta re-replacement in one case. Methicillin-resistant Staphylococcus aureus was detected in four patients, methicillin-resistant Staphulococcus epidermidis in one, and Aspergillus in one patient from purulent discharge at the operative site. Reoperative debridement and irrigation drainage were carried out at an early phase of infection. Intermittent irrigation followingthe reoperation was performed in all cases. In addition, muscle flap filling or omental translocation was carried out in three patients. Although thereported principle of treatment for arterial graft infection is extraanatomical bypass or rereplacement after removal of the infected graft, such procedures may be technically difficult and have a high risk at the thoracic level. Local anti-septic irrigation, administration of antibiotics, and vascular-rich tissue filling are useful procedures, and it appears that it is not always necessary to remove prosthetic grafts.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 13/07/20 alle ore 05:06:16