Successful treatment of thoracic aortic graft infection by omental flap
following vacuum-assisted closure therapy
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.