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感染性升主动脉人工血管:经胸大网膜移位术成功治疗

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

作者信息

Krabatsch T, Hetzer R

机构信息

Department of Cardiothoracic and Vascular Surgery, German Heart Institute Berlin.

出版信息

Eur J Cardiothorac Surg. 1995;9(4):223-5. doi: 10.1016/s1010-7940(05)80152-6.

DOI:10.1016/s1010-7940(05)80152-6
PMID:7605650
Abstract

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.

摘要

一名在因急性A型主动脉夹层置换升主动脉后发生人工瓣膜感染并伴有化脓性纵隔炎的患者,通过大网膜蒂胸廓内移位术成功治愈。该患者术后恢复过程中未再发生感染,30个月后,移植血管未出现任何并发症。我们认为大网膜胸廓内移位术是治疗心脏手术后纵隔炎或深部胸骨伤口感染的一种极佳方法。

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Complete graft dehiscence 8 months after repair of acute type A aortic dissection.急性 A 型主动脉夹层修复 8 个月后完全移植物破裂。
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