Evaluation of muscle flaps in the treatment of infected aortic grafts

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Presentation transcript:

Evaluation of muscle flaps in the treatment of infected aortic grafts R.J. Mehran, MD, A.M. Graham, MD, FRCS (C), FACS, M.A. Ricci, MD, J.F. Symes, MD, FRCS (C), FACS Journal of Vascular Surgery Volume 15, Issue 3, Pages 487-494 (March 1992) DOI: 10.1016/0741-5214(92)90187-D Copyright © 1992 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 1 Illustration of rectus abdominis muscle flap based on inferior rectus pedicle. Journal of Vascular Surgery 1992 15, 487-494DOI: (10.1016/0741-5214(92)90187-D) Copyright © 1992 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 2 Illustration of seromuscular jejunal flap with reanastomosis of small bowel. Journal of Vascular Surgery 1992 15, 487-494DOI: (10.1016/0741-5214(92)90187-D) Copyright © 1992 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 3 Transverse cut section of acute organized inflammatory pattern around grafts in groups 1 and 2 with abscess formation. Journal of Vascular Surgery 1992 15, 487-494DOI: (10.1016/0741-5214(92)90187-D) Copyright © 1992 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 4 Light microscopy reveals acute inflammatory reaction in groups 1 and 2 with abscess formation. Journal of Vascular Surgery 1992 15, 487-494DOI: (10.1016/0741-5214(92)90187-D) Copyright © 1992 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 5 Transverse cut section of rectus flap surrounding aortic graft in groups 3 and 5. Journal of Vascular Surgery 1992 15, 487-494DOI: (10.1016/0741-5214(92)90187-D) Copyright © 1992 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 6 Light microscopy of rectus muscle flap with little evidence of inflammation in groups 3 and 5. Journal of Vascular Surgery 1992 15, 487-494DOI: (10.1016/0741-5214(92)90187-D) Copyright © 1992 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 7 Transverse cut section of graft surrounded by seromuscular jejunal flap in groups. Journal of Vascular Surgery 1992 15, 487-494DOI: (10.1016/0741-5214(92)90187-D) Copyright © 1992 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 8 Light microscopy of jejunal flap in groups 4 and 6. Journal of Vascular Surgery 1992 15, 487-494DOI: (10.1016/0741-5214(92)90187-D) Copyright © 1992 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions