Saiki Yoshikatsu, Hata Masaki, Akasaka Junetsu, Saito Takeshi, Tabayashi Koichi
Department of Cardiovascular Surgery, Tohoku University Hospital, 1-1 Seiryo-machi, Aoba-ku, Sendai, Miyagi 980-8574, Japan.
Jpn J Thorac Cardiovasc Surg. 2005 Dec;53(12):638-40. doi: 10.1007/BF02665075.
A 77-year-old man developed deep sternal wound infection with Enterobacter cloacae 4 days after total aortic arch replacement for distal aortic arch aneurysm. Reexploration and open drainage of the mediastinum was carried out for 4 days, and the vacuum-assisted closure system was applied and continued for 10 days. During the treatment, granulation formation and neovascularization was apparently enhanced which lead us to perform omental transfer and chest closure on the 18th postoperative day. The patient has been free from recurrent sign of mediastinal infection or graft infection for the 19 months of the follow-up period.
一名77岁男性在因远端主动脉弓动脉瘤行全主动脉弓置换术后4天发生了阴沟肠杆菌所致的胸骨深部伤口感染。进行了4天的再次探查及纵隔开放引流，并应用了负压封闭引流系统，持续10天。治疗期间，肉芽组织形成和新生血管明显增加，这促使我们在术后第18天行网膜转移和胸部闭合术。在19个月的随访期内，患者未出现纵隔感染或移植物感染的复发迹象。
