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  • Title: Aortic graft preservation by debridement and omental wrapping.
    Author: Jamieson RW, Burns PJ, Dawson AR, Fraser SC.
    Journal: Ann Vasc Surg; 2012 Apr; 26(3):423.e1-4. PubMed ID: 22321485.
    Abstract:
    BACKGROUND: Aortic graft infection is a rare, but grave, complication in vascular surgery. Graft removal together with extra-anatomical bypass or in situ graft replacement is usually advocated, but these procedures are associated with significant morbidity and mortality. METHODS AND RESULTS: Two cases of aortic graft infection in high-risk surgical candidates managed by open debridement and omental wrapping with graft preservation are described. Both remain well at 3 years without any adjunctive procedures. CONCLUSION: Debridement and omental wrapping may offer an alternative to graft removal and revascularization in selected patients. This relatively low-risk procedure may allow long-term survival.
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