Luciani N, Lapenna E, De Bonis M, Possati G F
Department of Cardiac Surgery, Policlinico A. Gemelli University Hospital, Catholic University of The Sacred Heart, Rome, Italy.
Eur J Cardiothorac Surg. 2001 Aug;20(2):418-20. doi: 10.1016/s1010-7940(01)00789-8.
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.
一名57岁的患者接受了先前植入的升主动脉移植物的人工置换，1个月后出现了人工血管周围脓性积液。通过对感染组织进行清创、抗菌冲洗和大网膜瓣移位，他得到了成功治疗。术后过程顺利。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。包括大网膜移位在内的及时保守手术治疗对于升主动脉移植物置换术后纵隔炎的治疗可能是有效的。
