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Successful treatment of thoracic aortic graft infection by omental flap following vacuum-assisted closure therapy
  • +1
  • Rıza Turkoz,
  • Abdullah Doğan,
  • Yasemin Türkekul,
  • Emre Ozker
Rıza Turkoz
Acıbadem Bakırköy Hospital
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Abdullah Doğan
Acıbadem Bakırköy Hospital
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Yasemin Türkekul
Istanbul Education Research Hospital
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Emre Ozker
Acibadem Mehmet Ali Aydınlar University
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Peer review status:ACCEPTED

16 May 2020Submitted to Journal of Cardiac Surgery
18 May 2020Submission Checks Completed
18 May 2020Assigned to Editor
19 May 2020Reviewer(s) Assigned
26 May 2020Review(s) Completed, Editorial Evaluation Pending
01 Jun 2020Editorial Decision: Revise Minor
28 Jun 20201st Revision Received
04 Jul 2020Submission Checks Completed
04 Jul 2020Assigned to Editor
07 Jul 2020Reviewer(s) Assigned
13 Jul 2020Review(s) Completed, Editorial Evaluation Pending
13 Jul 2020Editorial Decision: Accept

Abstract

Postoperative thoracic aortic graft infection (TAGI) is a serious and potentially fatal complication. The classical approach is to replace the infected graft. However, this approach has a high mortality rate. Alternatively, treatment of TAGI without graft replacement can be performed. Herein, we present successful treatment of the case of a 72-year-old patient with mediastinitis and graft infection after type A aortic dissection operation for whom we performed omental flap coverage following vacuum-assisted wound closure therapy without graft replacement. The patient had an uneventful postoperative course and remained infection free for the last 36 months to date.