Zhang P, Tao FL, Li QH, Zhou DS, Liu FX. Salvage of vascular graft infections via vacuum sealing drainage and rectus femoris muscle flap transposition: A case report. World J Clin Cases 2021; 9(10): 2296-2301 [PMID: 33869606 DOI: 10.12998/wjcc.v9.i10.2296]
Corresponding Author of This Article
Fan-Xiao Liu, MD, Attending Doctor, Doctor, Research Fellow, Department of Orthopaedics, Shandong Provincial Hospital Affiliated to Shandong First Medical University, No. 324 Qingwuweiqi Road, Jinan 250021, Shandong Province, China. woshi631@126.com
Research Domain of This Article
Orthopedics
Article-Type of This Article
Case Report
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Zhang P, Tao FL, Li QH, Zhou DS, Liu FX. Salvage of vascular graft infections via vacuum sealing drainage and rectus femoris muscle flap transposition: A case report. World J Clin Cases 2021; 9(10): 2296-2301 [PMID: 33869606 DOI: 10.12998/wjcc.v9.i10.2296]
World J Clin Cases. Apr 6, 2021; 9(10): 2296-2301 Published online Apr 6, 2021. doi: 10.12998/wjcc.v9.i10.2296
Salvage of vascular graft infections via vacuum sealing drainage and rectus femoris muscle flap transposition: A case report
Peng Zhang, Fu-Lin Tao, Qing-Hu Li, Dong-Sheng Zhou, Fan-Xiao Liu
Peng Zhang, Fu-Lin Tao, Qing-Hu Li, Dong-Sheng Zhou, Fan-Xiao Liu, Department of Orthopaedics, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan 250021, Shandong Province, China
Author contributions: Zhang P, Zhou DS, and Tao FL were the patient’s respiratory physicians; Li QH and Liu FX performed the radiological diagnosis and contributed to manuscript drafting; Li QH and Liu FX performed the pathological diagnosis and contributed to manuscript drafting; Zhang P, Tao FL, Li QH, Zhou DS, and Liu FX performed the literature review and contributed to manuscript drafting; Zhang P and Liu FX were responsible for the revision of the manuscript for important intellectual content; all authors issued final approval for the version to be submitted.
Supported byShandong Provincial Natural Science Foundation, No. ZR2013HM069; Shandong Key R&D Program, No. 2017GSF218089; and China Scholarship Council, No. 201808080126.
Informed consent statement: Written informed consent was obtained from the patient for publication of case details and images.
Conflict-of-interest statement: The authors declare no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Corresponding author: Fan-Xiao Liu, MD, Attending Doctor, Doctor, Research Fellow, Department of Orthopaedics, Shandong Provincial Hospital Affiliated to Shandong First Medical University, No. 324 Qingwuweiqi Road, Jinan 250021, Shandong Province, China. woshi631@126.com
Received: October 11, 2020 Peer-review started: October 11, 2020 First decision: December 13, 2020 Revised: December 23, 2020 Accepted: January 12, 2021 Article in press: January 12, 2021 Published online: April 6, 2021 Processing time: 170 Days and 5.4 Hours
Abstract
BACKGROUND
The management of vascular graft infections continues to be a significant challenge in a clinical situation. The aim of this report is to illustrate the novel vacuum sealing drainage (VSD) technique and rectus femoris muscle flap transposition for vascular graft infections, and to evaluate the prospective of future testing of this surgical procedure.
CASE SUMMARY
We report the case of a 32-year-old male patient, who presented a severe infected groin wound with biological vascular graft Acinetobacter baumannii infection resulting in extensive graft exposure. Using the VSD and muscle flap trans-position, the groin wound and vascular graft infection were finally treated successfully.
CONCLUSION
Our case report highlights that VSD technique and rectus femoris muscle flap transposition could be considered in patients presenting with a severe infected groin wound with biological vascular graft Acinetobacter baumannii infection resulting in extensive graft exposure, especially in consideration of treatable conditions.
Core Tip: Artificial vascular graft infected with Acinetobacter baumannii is extremely rare in the clinic and continues to be a significant challenge for clinicians. Vacuum sealing drainage technique and rectus femoris muscle flap transposition are of great value in patients presenting with a severe infected groin wound with biological vascular graft Acinetobacter baumannii infection resulting in graft exposure extensively.
