Abstract
Method In case 1, three months after hospital discharge, a small fistula in the upper sternal scar was observed. When it was explored surgically, the fistula affected the superiorposterior part of the sternum and the pericardium was covering the prosthesis except in a small area over the left distal anastomosis of the dacron graft, which had a drop of pus. Cases 2 and 3 presented clear mediastinitis, with fever, leucocytosis and purulent effusion around the conduit, at 7 and 10 days after Bentall procedure. In case 1 s. Epidermidis was isolated and in cases 2 and 3 enterococci were cultured.
Highlights
Infection of a valved conduit used to perform a Bentall-De Bono technique is an infrequent but serious complication
In case 1, three months after hospital discharge, a small fistula in the upper sternal scar was observed. When it was explored surgically, the fistula affected the superiorposterior part of the sternum and the pericardium was covering the prosthesis except in a small area over the left distal anastomosis of the dacron graft, which had a drop of pus
In case 1, a pedicled left internal mammary artery flap was inserted among the Dacron and the pericardium but not prosthesis replacement was performed
Summary
Alternatives in the treatment of prosthetic infection after the Bentall-de Bono operation. R MartinezSanz, R Ávalos1*, P Garrido, R de la Llana, JJ Jiménez, J Montoto, M Brouard, JL Iribarren, PC Prada, C VaqueroPuerta. From World Society of Cardiothoracic Surgeons 25th Anniversary Congress, Edinburgh Edinburgh, UK. From World Society of Cardiothoracic Surgeons 25th Anniversary Congress, Edinburgh Edinburgh, UK. 19-22 September 2015
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