Abstract
Aortic root abscesses are severe sequelae of endocarditis that clinically manifest as life-threatening infection. As the opioid epidemic continues to yield a national crisis, the incidence and severity of this disease process have increased. Reconstruction of the aortic root is a challenging undertaking and carries the risk of recurrent infection. The omentum has an established reputation as a reliable flap in thoracic reconstruction, given its amorphous form and immunogenic properties, but it has not been utilized for aortic root infections. We present a novel indication for the omental flap using a cardioplastic approach in coverage of aortic root reconstruction. Four patients were treated with pedicled omental flap coverage after aortic root reconstruction. All patients had successful flap healing with no evidence of recurrent infection. This series demonstrates the technical feasibility and clinical utility for providing soft tissue coverage and antimicrobial protection when used in aortic root reconstruction.
Document Type
Article
Publication Date
10-2020
Digital Object Identifier (DOI)
https://doi.org/10.1097/GOX.0000000000003197
Repository Citation
Bonaroti, Alisha R.; Edmunds, R. Wesley; DeCoster, Ryan C.; Liau, James Y.; Sekela, Michael E.; and Vasconez, Henry C., "Cardioplastic Approach to Omental Flap Coverage for Severe Aortic Root Infections in the Opioid Era" (2020). Surgery Faculty Publications. 42.
https://uknowledge.uky.edu/surgery_facpub/42
Notes/Citation Information
Published in Plastic and Reconstructive Surgery--Global Open, v. 8, issue 10, e3197.
Copyright © 2020 The Authors
This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.