Omental Free Flap Coverage for Extracavitary Vascular Bypass Graft Salvage.

ABSTRACT:

Background

Prosthetic vascular graft infection is a serious complication associated with significant morbidity and mortality often requiring graft excision and numerous additional operations. Pedicled flaps are often used for the coverage of exposed deep tissue or hardware for graft salvage. In the absence of pedicled options, the properties of omentum make it an excellent choice for free flap tissue coverage, particularly in cases involving implanted prostheses.

Methods

A 63-year-old woman developed a mycotic right subclavian arterial aneurysm requiring ligation and extra-anatomic bypass grafting to restore right-sided intracranial and right upper extremity arterial perfusion. Subsequent wound breakdown and poor healing left the grafts exposed, resulting in contamination. G

SUBMITTER: Robinson JN 

PROVIDER: S-EPMC8245108 | biostudies-literature | 2021 Jun

REPOSITORIES: biostudies-literature