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Successful Treatment of Recurrent Thoracic Aortic Prosthetic Graft Infection after Omentopexy by Free-latissimus Dorsi and Rectus Abdominis Muscle Flap.
European Journal of Cardio-thoracic Surgery 2022 September 14
A 50-year-old patient, who underwent total aortic arch replacement for acute type A aortic dissection, developed recurrent thoracic prosthetic graft infection after omentopexy for the treatment of initial postoperative graft infection of ascending aorta and transverse aortic arch. We report a successful treatment of the disastrous complication by covering the prosthetic graft with free latissimus dorsi muscle flap coupled with pedicled rectus abdominis myocutaneous flap for the reduction of mediastinal dead space, following the surgical disinfection with partial graft reconstruction.
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