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Ann Thorac Surg 1987;44:614-617
© 1987 The Society of Thoracic Surgeons

Articles

Omental Pedicle Graft in the Management of Infected Ascending Aortic Prostheses

Donald W. Miller, Jr., M.D.*, Douglas D. Johnson, M.D.

From the Swedish Hospital Medical Center, Seattle, WA

Accepted for publication June 8, 1987.

* Address reprint requests to Dr. Miller, 1221 Madison, Suite 1110, Seattle, WA 98104

Two patients had mediastinal infections with chronic draining sinus tracts that involved a vascular prosthesis in the ascending aorta. In 1 patient, a false mycotic aneurysm developed and in the other, a beginning rupture of the proximal suture line. In both patients, the infection was cured by replacing the infected aortic prosthesis combined with wrapping the new prosthesis with a pedicled omental graft. An omental graft was used to protect the vascular prosthesis and minimize the risk of recurrent infection.




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