Vacuum-assisted closure system for the treatment of mediastinitis after total aortic arch replacement

Yoshikatsu Saiki, Masaki Hata, Junetsu Akasaka, Takeshi Saito, Koichi Tabayashi

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)638-640
Number of pages3
JournalJapanese Journal of Thoracic and Cardiovascular Surgery
Volume53
Issue number12
DOIs
Publication statusPublished - 2005 Dec 1

Keywords

  • Aortic arch aneurysm
  • Mediastinitis
  • Prosthetic vascular graft
  • Vacuum-assisted closure system

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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