Anterolateral Partial Sternotomy with Trans-Thoracic Latissimus Dorsi Muscle Flap for Mediastinal Reconstruction in Aortic Graft Infection
نویسندگان
چکیده
Background: Aortic graft infection (AGI) is an intractable complication of prosthetic replacement surgery. The selection a reconstruction method controversial, especially in cases where omental flaps are not available.Methods: A retrospective survey was conducted based on the medical records patients who underwent with anterolateral partial sternotomy (ALPS) approach and mediastinal transthoracic latissimus dorsi (LD) flap at Kobe University Hospital between July 2019 May 2021. In ALPS approach, left third intercostal space incised addition to conventional median sternotomy. fifth rib partially excised create passage lateral thoracic area cavity (transthoracic route). After surgery, LD passed through route fill dead around graft.Results: Our study included five (four males; mean age, 74.0 years). Three two experienced AGI recurrence infectious aortic aneurysms. all cases, unavailable for owing history laparotomy. One patient aneurysm died heart failure postoperative day 24. hospital stay four survivors 67.3 days. follow-up 513.3 days no infection.Discussion: Compared extra-thoracic route, shortens distance from base graft, allowing more muscle tissue be filled into (between pectoralis major wall). Trans-thoracic transfer using versatile treating when unavailable, recurrent infections.
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ژورنال
عنوان ژورنال: International journal of surgical wound care
سال: 2022
ISSN: ['2435-2128']
DOI: https://doi.org/10.36748/ijswc.3.3_81