Aortic Graft Preservation by Debridement and Omental Wrapping

作者：Jamieson Russell W^*; Burns Paul J; Dawson A Raymond W; Fraser Simon C A

来源：Annals of Vascular Surgery, 2012, 26(3): 423.e1.

DOI：10.1016/j.avsg.2011.07.021

Background: Aortic graft infection is a rare, but grave, complication in vascular surgery. Graft removal together with extra-anatomical bypass or in situ graft replacement is usually advocated, but these procedures are associated with significant morbidity and mortality.
Methods and Results: Two cases of aortic graft infection in high-risk surgical candidates managed by open debridement and omental wrapping with graft preservation are described. Both remain well at 3 years without any adjunctive procedures.
Conclusion: Debridement and omental wrapping may offer an alternative to graft removal and revascularization in selected patients. This relatively low-risk procedure may allow long-term survival.

• 出版日期2012-4