Cardioplastic Approach to Omental Flap Coverage for Severe Aortic Root Infections in the Opioid Era

Alisha R. Bonaroti, R. Wesley Edmunds, Ryan C. Decoster, James Y. Liau, Michael E. Sekela, Henry C. Vasconez

Research output: Contribution to journalArticlepeer-review


Summary: 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.

Original languageEnglish
Pages (from-to)E3197
JournalPlastic and Reconstructive Surgery - Global Open
Issue number10
StatePublished - Oct 28 2020

Bibliographical note

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© 2020 Lippincott Williams and Wilkins. All rights reserved.

ASJC Scopus subject areas

  • Surgery


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