Thoracic Aortic Graft Salvage after Sternal Wound Infection with Antibiotic Beads and Flap Coverage.

ABSTRACT: Infections involving thoracic aortic grafts are difficult to treat and have devastating consequences. The traditional approaches to surgical management include aggressive debridement with graft explantation and replacement. Despite treatment, the reported morbidity and mortality rates are high. The purpose of this study was to present our experience with an innovative approach to aortic graft salvage in the setting of sternal wound infection using antibiotic impregnated polymethylmethacrylate beads followed by definitive wound closure with flap coverage. A retrospective review identified patients with surgical wounds after aortic graft or cardiac valve placement over a 7-year period at a single institution. Patients were treated using an algorithm consisting of repeated surgical debridemen

SUBMITTER: Cole SH 

PROVIDER: S-EPMC9187166 | biostudies-literature | 2022 Jun

REPOSITORIES: biostudies-literature