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Ann Thorac Surg 1998;66:564-566
© 1998 The Society of Thoracic Surgeons

Case Reports

Combined therapies for composite graft infection after Bentall’s procedure

Tamaki Takano, MDa, Yukio Fukaya, MDa, Hirofumi Nakano, MDa, Hideo Kuroda, MDa, Jun Amano, MDa

a Department of Surgery, Shinshu University School of Medicine, Matsumoto, Japan

Accepted for publication March 2, 1998.

Address reprint requests to Dr Takano, Department of Surgery, Shinshu University School of Medicine, 3-1-1, Asahi, Matsumoto 390, Japan

We present a patient who suffered from composite graft infection and mediastinitis. After replacement of the infected composite graft, in addition to administration of antibiotics, continuous irrigation of the mediastinum with solutions containing povidone-iodine and cefazolin sodium and transposition of the greater omentum were performed. His postoperative course was uneventful. Combined therapies including mediastinal irrigation and omental transposition should be considered after an operation for composite graft infection complicated with mediastinitis.




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