| Vacuum-assisted closure system for the treatment of mediastinitis after total aortic arch replacement. | |
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MedLine Citation:
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PMID: 16408469 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Yoshikatsu Saiki; Masaki Hata; Junetsu Akasaka; Takeshi Saito; Koichi Tabayashi |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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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:
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Created Date: 2006-01-13 Completed Date: 2006-02-22 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100884261 Medline TA: Jpn J Thorac Cardiovasc Surg Country: Japan |
Other Details:
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Languages: eng Pagination: 638-40 Citation Subset: IM |
Affiliation:
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Department of Cardiovascular Surgery, Tohoku University Hospital, 1-1 Seiryo-machi, Aoba-ku, Sendai, Miyagi 980-8574, Japan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aneurysm, Dissecting
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diagnosis,
surgery Aortic Aneurysm, Thoracic / diagnosis, surgery Blood Vessel Prosthesis Implantation / adverse effects*, methods Debridement / methods Follow-Up Studies Humans Male Mediastinitis / etiology, therapy* Omentum / transplantation Risk Assessment Sternum / physiopathology, surgery* Surgical Flaps* Surgical Wound Infection / diagnosis, therapy* Suture Techniques Vacuum Wound Healing / physiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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