A Case of Mycotic Aneurysm Repaired by Wrapping the Pedicled Latissimus Dorsi Muscle Flap around the Artificial Graft
10.4326/jjcvs.41.173
- VernacularTitle:有茎広背筋弁を人工血管に巻いた感染性胸部下行大動脈瘤破裂の1手術例
- Author:
Shinichi Taguchi
- Publication Type:Journal Article
- Keywords:
rupture of mycotic aneurysm;
latissimus dorsi muscle flap;
pedicled muscle flap;
MRSA infection
- From:Japanese Journal of Cardiovascular Surgery
2012;41(4):173-177
- CountryJapan
- Language:Japanese
-
Abstract:
A 69-year-old man with histories of cardiac and abdominal operations was hospitalized in another hospital due to brain contusion. Due to hemorrhage from the distal descending thoracic aorta, he was transferred to our hospital. After a diagnosis rupture of mycotic aneurysm an urgent operation was performed. The aneurysm was replaced by an in situ graft. For infection control, the graft was wrapped tightly by a pedicled latissimus dorsi muscle flap. Postoperatively, local infection of the muscle-dissected cavity continued. Although his life was ultimately not saved, he was able to live a comfortable hospital life with some activity for 8 months.
