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The Annals of Thoracic Surgery, Vol 44, 614-617, Copyright © 1987 by The Society of Thoracic Surgeons

ARTICLES

Omental pedicle graft in the management of infected ascending aortic prostheses

DW Miller Jr and DD Johnson
Swedish Hospital Medical Center, Seattle, WA.

Two patients had mediastinal infections with chronic draining sinus tracts that involved a vascular prosthesis in the ascending aorta. In 1 patient, a false mycotic aneurysm developed and in the other, a beginning rupture of the proximal suture line. In both patients, the infection was cured by replacing the infected aortic prosthesis combined with wrapping the new prosthesis with a pedicled omental graft. An omental graft was used to protect the vascular prosthesis and minimize the risk of recurrent infection.

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