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Thorac Cardiovasc Surg 2018; 66(03): 227-232
DOI: 10.1055/s-0038-1623479
Original Cardiovascular
Georg Thieme Verlag KG Stuttgart · New York

Graft-Sparing Strategy for Thoracic Prosthetic Graft Infection

Gaku Uchino
1   Department of Cardiovascular Surgery, Matsubara Tokushukai Hospital, Osaka, Japan
,
Takeshi Yoshida
1   Department of Cardiovascular Surgery, Matsubara Tokushukai Hospital, Osaka, Japan
,
Bunpachi Kakii
1   Department of Cardiovascular Surgery, Matsubara Tokushukai Hospital, Osaka, Japan
,
Masato Furui
1   Department of Cardiovascular Surgery, Matsubara Tokushukai Hospital, Osaka, Japan
› Author Affiliations Funding None.
Further Information

Publication History

26 November 2017

15 December 2017

Publication Date:
20 February 2018 (online)

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Abstract

Objective Thoracic prosthetic graft infection is a rare but serious complication with no standard management. We reported our surgical experience on graft-sparing strategy for thoracic prosthetic graft infection.

Methods This study included patients who underwent graft-sparing surgery for thoracic prosthetic graft infection at Matsubara Tokushukai Hospital in Japan from January 2000 to October 2017.

Results There were 17 patients included in the analyses, with a mean age at surgery of 71.0 ± 10.5 years; 11 were men. In-hospital mortality was observed in five patients (29.4%).

Conclusions Graft-sparing surgery for thoracic prosthetic graft infection is an alternative option particularly for early graft infection after hemiarch replacement.

Keywords

thoracic - prosthetic graft infection - graft-sparing - omental transfer
 

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