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Ann Thorac Surg 1999;68:269-271
© 1999 The Society of Thoracic Surgeons

How to Do It

Remnant omental transfer for the mediastinitis after coronary bypass surgery with right gastroepiploic artery

Hitoshi Yokoyama, MD, PhDa, Mitsuaki Sadahiro, MDa, Atsusi Iguchi, MDa, Mikio Ohmi, MDa, Koichi Tabayashi, MDa, Shigeo Tanaka, MD, PhDb

a Department of Thoracic and Cardiovascular Surgery, Tohoku University School of Medicine, Sendai, Japan
b Department of Cardiovascular Surgery, Aomori General Hospital, Aomori, Japan

Address reprint requests to Dr Yokoyama, Department of Thoracic and Cardiovascular Surgery, Tohoku University School of Medicine, 1-1 Seiryo-cho, Aoba-ku, Sendai 980-8574, Japan
e-mail: hitoshiy{at}mail.cc.tohoku.ac.jp

A one-stage procedure for the treatment of mediastinitis after coronary bypass surgery utilizing the right gastroepiploic artery is described. This procedure consists of thorough debridement of mediastinal pus and necrotic tissue, excision of infected sternal bone, mediastinal irrigation, and immediate transfer of the "remnant" omental pedicle based on the "left" gastroepiploic artery without postoperative drainage or irrigation. Recently, this procedure was applied to our patients followed by excellent results.




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