Removal of the infected prosthesis is considered an essential procedure in the treatment of prosthetic graft infection following cardiovascular surgery. Here, we present a case of left ventricular patch infection following repair of left ventricular rupture that was successfully treated by coverage with a latissimus dorsi muscle flap without patch removal. A 61-year-old man underwent double-patch repair for left ventricular-free wall rupture following posterior myocardial infarction. He underwent drainage and omental transposition with re-sternotomy for postoperative mediastinitis by Candida albicans, followed by pericardial fenestration via left thoracotomy for infectious pericarditis; however, left ventricular patch infection was detected. Considering the high invasiveness of a reoperation for patch removal, we preserved and covered the patch using a left pedicled latissimus dorsi muscle flap via left thoracotomy. The postoperative course was uneventful, and the patient was asymptomatic with no signs of recurrence at 30 months.
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The authors would like to thank Enago (www.enago.jp) for the English language review.
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Mori, K., Furukawa, K., Ishii, H. et al. Successful treatment of left ventricular patch infection by latissimus dorsi muscle flap covering without patch removal. Gen Thorac Cardiovasc Surg (2020). https://doi.org/10.1007/s11748-020-01422-2
- Ventricular patch infection
- Latissimus dorsi muscle flap