Management of Thoracic Aortic Graft Infections With the Omental Flap

Shah, Sunny; Sinno, Sammy; Vandevender, Darl; Schwartz, J. L.

doi:10.1097/sap.0b013e3182414385

Cited by 17 publications

(12 citation statements)

References 17 publications

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“…[16][17][18][19][20][21] In our study, two patients receiving homografts for aortic infection died in hospital. Both deaths were not related to the graft.…”

Section: Discussionmentioning

confidence: 84%

Xenopericardial self-made tube grafts in infectious vascular reconstructions: Preliminary results of an easy and ready to use surgical approach

et al. 2016

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“…[16][17][18][19][20][21] In our study, two patients receiving homografts for aortic infection died in hospital. Both deaths were not related to the graft.…”

Section: Discussionmentioning

confidence: 84%

Xenopericardial self-made tube grafts in infectious vascular reconstructions: Preliminary results of an easy and ready to use surgical approach

et al. 2016

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“… 12 , 13 Regeneration occurs through cellular proliferation, and fibrous tissue growth ultimately creates adhesions to obliterate dead space. 14 Associated lymphoid tissue may eradicate infection and clear wound secretions, enhancing the antimicrobial effect. Moreover, the omentum has been shown to deliver angiogenic factors such as vascular endothelial growth factor, 15 which confers a significant advantage over muscle flaps.…”

Section: Discussionmentioning

confidence: 99%

Cardioplastic Approach to Omental Flap Coverage for Severe Aortic Root Infections in the Opioid Era

Bonaroti

Edmunds

DeCoster

et al. 2020

Plastic and Reconstructive Surgery - Global Open

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Summary: Aortic root abscesses are severe sequelae of endocarditis that clinically manifest as life-threatening infection. As the opioid epidemic continues to yield a national crisis, the incidence and severity of this disease process have increased. Reconstruction of the aortic root is a challenging undertaking and carries the risk of recurrent infection. The omentum has an established reputation as a reliable flap in thoracic reconstruction, given its amorphous form and immunogenic properties, but it has not been utilized for aortic root infections. We present a novel indication for the omental flap using a cardioplastic approach in coverage of aortic root reconstruction. Four patients were treated with pedicled omental flap coverage after aortic root reconstruction. All patients had successful flap healing with no evidence of recurrent infection. This series demonstrates the technical feasibility and clinical utility for providing soft tissue coverage and antimicrobial protection when used in aortic root reconstruction.

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“…Because of its abundant lymphoid tissue, omentum has beneficial effects on infective tissues by regenerating blood vessels and eliminating substrates for bacterial growth 8,9 . Consequently, omentum is considered the best choice for controlling infection and is widely used to treat mediastinitis after cardiac surgery 8 10 .…”

Section: Discussionmentioning

confidence: 99%

Efficacy of Computed Tomography-Guided Catheter Drainage as the Initial Intervention and of Omentopexy as the Staged Surgery for a Prosthetic Graft Infection of Very Late Onset

et al. 2016

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On the basis of computed tomography (CT) examination, a prosthetic graft infection of very late onset was suspected in a 72-year-old man who had undergone replacement of an bifurcated prosthetic graft 6 years earlier because of an abdominal aortic aneurysm and bilateral common iliac artery aneurysms.Emergency CT-guided needle aspiration was performed, and analysis of directly aspirated fluid confirmed the rapid diagnosis. Instead of conventional emergency surgery, CT-guided catheter drainage was the initial treatment and led to the gradual improvement of symptoms and laboratory data. Elective staged surgery was performed later to examine the cavity around the prosthetic graft. The cavity was then filled with in-situ omentum. Thus, CT-guided catheter drainage as the initial treatment and following omentopexy as the staged surgery avoided the need for highly invasive conventional surgery. (J Nippon Med Sch 2016; 83: 203 205)

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Management of Thoracic Aortic Graft Infections With the Omental Flap

Abstract: We report our series on the treatment of patients with infection of thoracic aortic grafts. Debridement and tissue coverage with an omental flap provided these patients with successful recovery and survival.

Cited by 17 publications

References 17 publications

Xenopericardial self-made tube grafts in infectious vascular reconstructions: Preliminary results of an easy and ready to use surgical approach

Xenopericardial self-made tube grafts in infectious vascular reconstructions: Preliminary results of an easy and ready to use surgical approach

Cardioplastic Approach to Omental Flap Coverage for Severe Aortic Root Infections in the Opioid Era

Efficacy of Computed Tomography-Guided Catheter Drainage as the Initial Intervention and of Omentopexy as the Staged Surgery for a Prosthetic Graft Infection of Very Late Onset

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