MRSA Infection after Grafting for Thoraco-abdominal Aneurysm: A Case Successfully Treated by Omentopexy.
10.4326/jjcvs.27.380
- VernacularTitle:大網充填術が奏効した胸腹部大動脈りゅう術後ＭＲＳＡ感染の１治癒例
- Author:
Hiromi Yano
;
Shin Ishimaru
;
Mikio Ishikawa
;
Yukio Obitsu
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
1998;27(6):380-382
- CountryJapan
- Language:Japanese
-
Abstract:
Prosthetic graft replacement for thoraco-abdominal aneurysm was performed in a 69-year-old man. Fever and CRP elevation developed 8 days after the operation. A subcutaneous abscess was found in the wound. The culture of pus and thoracic discharge revealed methicillin-resistant staphylococcus aureus (MRSA). Infected tissues were debrided and an omentopexy was performed without removing the prosthetic graft to avoid spinal cord ischemia. The thoracic cavity was irrigated continuously with 1% Povidone-iodine for three days. The infection subsided gradually and the patient was discharged. Graft infection due to MRSA has recently increased and we experienced such a case which we treated successfully by complete debridement, omentopexy and continuous irrigation.
