Document Detail

Vacuum-assisted closure system for the treatment of mediastinitis after total aortic arch replacement.
MedLine Citation:
PMID:  16408469     Owner:  NLM     Status:  MEDLINE    
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.
Yoshikatsu Saiki; Masaki Hata; Junetsu Akasaka; Takeshi Saito; Koichi Tabayashi
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Japanese journal of thoracic and cardiovascular surgery : official publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai zasshi     Volume:  53     ISSN:  1344-4964     ISO Abbreviation:  Jpn. J. Thorac. Cardiovasc. Surg.     Publication Date:  2005 Dec 
Date Detail:
Created Date:  2006-01-13     Completed Date:  2006-02-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100884261     Medline TA:  Jpn J Thorac Cardiovasc Surg     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  638-40     Citation Subset:  IM    
Department of Cardiovascular Surgery, Tohoku University Hospital, 1-1 Seiryo-machi, Aoba-ku, Sendai, Miyagi 980-8574, Japan.
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MeSH Terms
Aneurysm, Dissecting / diagnosis,  surgery
Aortic Aneurysm, Thoracic / diagnosis,  surgery
Blood Vessel Prosthesis Implantation / adverse effects*,  methods
Debridement / methods
Follow-Up Studies
Mediastinitis / etiology,  therapy*
Omentum / transplantation
Risk Assessment
Sternum / physiopathology,  surgery*
Surgical Flaps*
Surgical Wound Infection / diagnosis,  therapy*
Suture Techniques
Wound Healing / physiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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