A Novel Technique to Wrap, Not Merely Cover, the Omental Flap Around the Infected Graft

Prosthetic vascular graft infection is a severe complication associated with aortic and root replacement. In such situations, use of the omental flap is a conventional surgical treatment option. However, the optimal surgical technique using the omental flap has not yet been fully established, especially in its application around an infected graft. Here, we present a case in which we successfully controlled an infection involving the thoracic aortic prosthetic graft of the aortic root and ascending aorta by wrapping the omentum around the graft and discuss this novel wrapping technique.