Dehiscence of an Infected Composite Ascending Graft with Systolic Extrinsic Compression

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Dehiscence of infected aortocoronary vein graft suture lines. Cause of late pseudoaneurysm of ascending aorta.

Two cases are described of late pseudoaneurysm of the ascending aorta caused by dehiscence of infected aortocoronary vein graft suture lines. Both cases were associated with early postoperative Staphylococcus aureus superficial wound infection. This complication should be suspected in patients developing protracted wound infections after operation, particularly when associated with rigors.

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Management of an infected graft in the ascending aorta by an omental pedicel graft and irrigation with povidone iodine.

An infected graft in the ascending aorta was managed by use of an omental pedicel graft and local irrigation with a dilute suspension of aqueous providone iodine. This conservative approach is an alternative to the high risk procedure of graft replacement. The large abscess cavity associated with the aortic prosthesis was diagnosed by computed tomography.

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Successful Therapy for a Patient With an Infected Ascending Aortic Graft and Sternal Osteomyelitis Without Graft Removal

OBJECTIVE Following open-heart surgery, sternal osteomyelitis or infection of the graft may be a serious complication with high mortality rates. The recommended treatment of an infected graft is its explantation. Because of the poor performance status of the patient, this may not always be an option. We report a successful treatment concept without removal of the infected graft. METHODS The i...

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Dehiscence of a Composite Aortic Graft and Pseudoaneursym Late After a Bentall Operation

A 32-year-old female patient with previous Bentall operation and mitral valve repair surgery due to severe aortic insufficiency, mitral valve insufficiency, and ascending aortic aneurysm was admitted to our hospital with serious dyspnea, fatigue, and mild chest pain. Two-dimensional echocardiography demonstrated a markedly dilated basal aorta and cardiac chambers. Thoracic computed tomography s...

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ژورنال

عنوان ژورنال: CASE

سال: 2020

ISSN: 2468-6441

DOI: 10.1016/j.case.2020.08.004