{"id":"https://openalex.org/W2139173033","doi":"https://doi.org/10.5812/rijm.15366","title":"Omental Flap as Primary Surgical Treatment in Post-Operative Mediastinitis After Cardiac Surgery","display_name":"Omental Flap as Primary Surgical Treatment in Post-Operative Mediastinitis After Cardiac Surgery","publication_year":2014,"publication_date":"2014-05-11","ids":{"openalex":"https://openalex.org/W2139173033","doi":"https://doi.org/10.5812/rijm.15366","mag":"2139173033"},"language":"en","primary_location":{"id":"doi:10.5812/rijm.15366","doi":"https://doi.org/10.5812/rijm.15366","is_oa":true,"landing_page_url":"http://doi.org/10.5812/rijm.15366","pdf_url":null,"source":{"id":"https://openalex.org/S2738703983","display_name":"Razavi International Journal of Medicine","issn_l":"2345-6426","issn":["2345-6426","2345-6434"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":["poland-20"],"host_organization":"https://openalex.org/P4310319014","host_organization_name":"Razavi Hospital","host_organization_lineage":["https://openalex.org/P4310319014"],"host_organization_lineage_names":["Razavi Hospital"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Razavi International Journal of Medicine","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"http://doi.org/10.5812/rijm.15366","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5069066040","display_name":"Samer Kassem","orcid":"https://orcid.org/0000-0002-5870-7418","observed_orcids":["https://orcid.org/0000-0002-5870-7418"]},"institutions":[{"id":"https://openalex.org/I4210089474","display_name":"Centro Cardiologico Monzino","ror":"https://ror.org/006pq9r08","country_code":"IT","type":"healthcare","lineage":["https://openalex.org/I4210089474","https://openalex.org/I4210153126"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Samer Kassem","raw_affiliation_strings":["Department of Cardiovascular Surgery, Heart Center Monzino Foundation IRCCS, Milan, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiovascular Surgery, Heart Center Monzino Foundation IRCCS, Milan, Italy","institution_ids":["https://openalex.org/I4210089474"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5049162004","display_name":"Tommaso Generali","orcid":"https://orcid.org/0000-0001-5848-806X","observed_orcids":["https://orcid.org/0000-0001-5848-806X"]},"institutions":[{"id":"https://openalex.org/I4210089474","display_name":"Centro Cardiologico Monzino","ror":"https://ror.org/006pq9r08","country_code":"IT","type":"healthcare","lineage":["https://openalex.org/I4210089474","https://openalex.org/I4210153126"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Tommaso Generali","raw_affiliation_strings":["Department of Cardiovascular Surgery, Heart Center Monzino Foundation IRCCS, Milan, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiovascular Surgery, Heart Center Monzino Foundation IRCCS, Milan, Italy","institution_ids":["https://openalex.org/I4210089474"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5003868029","display_name":"Andrea Daprati","orcid":"https://orcid.org/0000-0003-1974-757X","observed_orcids":["https://orcid.org/0000-0003-1974-757X"]},"institutions":[{"id":"https://openalex.org/I4210089474","display_name":"Centro Cardiologico Monzino","ror":"https://ror.org/006pq9r08","country_code":"IT","type":"healthcare","lineage":["https://openalex.org/I4210089474","https://openalex.org/I4210153126"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Andrea Daprati","raw_affiliation_strings":["Department of Cardiovascular Surgery, Heart Center Monzino Foundation IRCCS, Milan, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiovascular Surgery, Heart Center Monzino Foundation IRCCS, Milan, Italy","institution_ids":["https://openalex.org/I4210089474"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5102734270","display_name":"Federico Martinelli","orcid":"https://orcid.org/0009-0001-2198-6636","observed_orcids":["https://orcid.org/0009-0001-2198-6636"]},"institutions":[{"id":"https://openalex.org/I4210089474","display_name":"Centro Cardiologico Monzino","ror":"https://ror.org/006pq9r08","country_code":"IT","type":"healthcare","lineage":["https://openalex.org/I4210089474","https://openalex.org/I4210153126"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Federico Martinelli","raw_affiliation_strings":["Department of Cardiovascular Surgery, Heart Center Monzino Foundation IRCCS, Milan, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiovascular Surgery, Heart Center Monzino Foundation IRCCS, Milan, Italy","institution_ids":["https://openalex.org/I4210089474"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5042464726","display_name":"Alessandro Parolari","orcid":"https://orcid.org/0000-0002-6954-0422","observed_orcids":["https://orcid.org/0000-0002-6954-0422"]},"institutions":[{"id":"https://openalex.org/I4210089474","display_name":"Centro Cardiologico Monzino","ror":"https://ror.org/006pq9r08","country_code":"IT","type":"healthcare","lineage":["https://openalex.org/I4210089474","https://openalex.org/I4210153126"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Alessandro Parolari","raw_affiliation_strings":["Department of Cardiovascular Surgery, Heart Center Monzino Foundation IRCCS, Milan, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiovascular Surgery, Heart Center Monzino Foundation IRCCS, Milan, Italy","institution_ids":["https://openalex.org/I4210089474"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I4210089474"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"2","issue":"2","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12453","display_name":"Infectious Aortic and Vascular Conditions","score":0.9814000129699707,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12453","display_name":"Infectious Aortic and Vascular Conditions","score":0.9814000129699707,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12297","display_name":"Otolaryngology and Infectious Diseases","score":0.00279999990016222,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11293","display_name":"Orthopedic Infections and Treatments","score":0.0026000000070780516,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/postoperative-mediastinitis","display_name":"postoperative mediastinitis","score":0.9330000281333923},{"id":"https://openalex.org/keywords/mediastinal-abscess","display_name":"mediastinal abscess","score":0.9390000104904175},{"id":"https://openalex.org/keywords/redo-aortic-valve-replacement","display_name":"redo aortic valve replacement","score":0.8629999756813049},{"id":"https://openalex.org/keywords/ascending-aorta-replacement","display_name":"ascending aorta replacement","score":0.9039999842643738},{"id":"https://openalex.org/keywords/aortic-regurgitation","display_name":"aortic regurgitation","score":0.7480000257492065},{"id":"https://openalex.org/keywords/resternotomy","display_name":"resternotomy","score":0.6000000238418579},{"id":"https://openalex.org/keywords/greater-omentum","display_name":"greater omentum","score":0.6539999842643738}],"concepts":[{"id":"https://openalex.org/C2781101105","wikidata":"https://www.wikidata.org/wiki/Q1581845","display_name":"Mediastinitis","level":2,"score":0.920807957649231},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8014000654220581},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.7266107797622681},{"id":"https://openalex.org/C2779965577","wikidata":"https://www.wikidata.org/wiki/Q3489224","display_name":"Kowsar","level":2,"score":0.6937994360923767},{"id":"https://openalex.org/C2778789114","wikidata":"https://www.wikidata.org/wiki/Q235007","display_name":"Cardiac surgery","level":2,"score":0.6201733350753784}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.5812/rijm.15366","doi":"https://doi.org/10.5812/rijm.15366","is_oa":true,"landing_page_url":"http://doi.org/10.5812/rijm.15366","pdf_url":null,"source":{"id":"https://openalex.org/S2738703983","display_name":"Razavi International Journal of Medicine","issn_l":"2345-6426","issn":["2345-6426","2345-6434"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":["poland-20"],"host_organization":"https://openalex.org/P4310319014","host_organization_name":"Razavi Hospital","host_organization_lineage":["https://openalex.org/P4310319014"],"host_organization_lineage_names":["Razavi Hospital"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Razavi International Journal of Medicine","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.5812/rijm.15366","doi":"https://doi.org/10.5812/rijm.15366","is_oa":true,"landing_page_url":"http://doi.org/10.5812/rijm.15366","pdf_url":null,"source":{"id":"https://openalex.org/S2738703983","display_name":"Razavi International Journal of Medicine","issn_l":"2345-6426","issn":["2345-6426","2345-6434"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":["poland-20"],"host_organization":"https://openalex.org/P4310319014","host_organization_name":"Razavi Hospital","host_organization_lineage":["https://openalex.org/P4310319014"],"host_organization_lineage_names":["Razavi Hospital"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Razavi International Journal of Medicine","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":5,"referenced_works":["https://openalex.org/W1965448977","https://openalex.org/W2055846630","https://openalex.org/W2115416973","https://openalex.org/W2126423273","https://openalex.org/W2130049440"],"related_works":["https://openalex.org/W2427922325","https://openalex.org/W2413990458","https://openalex.org/W2151575349","https://openalex.org/W1991824883","https://openalex.org/W2400416752","https://openalex.org/W2411066401","https://openalex.org/W2125969776","https://openalex.org/W2090143703","https://openalex.org/W2407630057","https://openalex.org/W2096391920"],"abstract_inverted_index":{"Introduction:":[0],"A":[1,93,191],"43-year-old":[2,94],"man":[3,95],"developed":[4,167],"a":[5,9,21,42,58,102,113,126,140,163,174,179,197,222,263,326],"mediastinal":[6,182,198,247],"abscess":[7,183],"after":[8,149,358],"redo":[10,127],"aortic":[11,55,104,133],"valve":[12,38,134],"along":[13,138],"with":[14,112,139,188],"an":[15,107,132,168,254],"ascending":[16,108,128],"aorta":[17,109,129],"replacement":[18,130,135],"and":[19,39,51,71,106,131,159,172,245,251,272,309],"also":[20],"sub-aortic":[22,115],"membrane":[23],"resection.":[24],"He":[25,124],"was":[26,49,96,151,226,243,249,270],"surgically":[27],"revised:":[28],"as":[29,302],"there":[30],"were":[31],"no":[32,73],"signs":[33],"of":[34,36,45,75,79,142,219,256,266,320,329,346],"involvement":[35],"the":[37,46,54,66,76,80,87,143,185,189,213,217,220,230,233,246,257,261,267,275,280,285,347],"vascular":[40,276],"prosthesis,":[41],"pedunculated":[43,264],"tract":[44,265],"greater":[47,268,289],"omentum":[48,82,269,290,349],"mobilized":[50,271],"positioned":[52,273],"around":[53,274],"prosthesis.":[56],"During":[57],"10-month":[59],"follow-up,":[60],"it":[61],"has":[62,72],"been":[63,119],"revealed":[64],"that":[65,344],"patient":[67],"is":[68,291],"doing":[69],"well":[70,210,292],"recurrence":[74],"infection.":[77],"Use":[78],"great":[81,348],"could":[83,350],"be":[84,314,335,351],"considered":[85,352],"in":[86,121,184,208,240,294,353],"selected":[88,354],"mediastinitis":[89,356],"cases.":[90],"Case":[91],"Presentation:":[92],"referred":[97],"to":[98,153,278,334],"our":[99],"institution":[100],"for":[101,156,297,337],"severe":[103],"regurgitation":[105],"enlargement":[110],"associated":[111],"relapsing":[114,144],"membrane,":[116],"which":[117],"had":[118],"treated":[120],"his":[122],"childhood.":[123],"underwent":[125,173],"(mechanical":[136],"prosthesis)":[137],"resection":[141],"sub-valvular":[145],"membrane.":[146],"Some":[147],"weeks":[148],"he":[150,166],"admitted":[152],"another":[154],"hospital":[155],"fever,":[157],"arthromyalgias":[158],"chest":[160,175,193],"pain.":[161],"After":[162,253],"few":[164],"days,":[165],"inflammatory":[169],"jugular":[170],"swelling":[171],"CT":[176,194],"scan":[177,195],"showing":[178],"bulky":[180],"anterior":[181],"direct":[186],"continuity":[187],"sternum.":[190],"further":[192,223],"showed":[196],"para-aortic":[199],"capsulated":[200],"mass,":[201],"135":[202],"\u00d7":[203,205,237],"85":[204],"90":[206],"mm":[207,239],"dimension,":[209],"delimited":[211],"over":[212,232],"surrounding":[214],"plans.":[215],"At":[216],"top":[218],"lesion,":[221],"fluid":[224],"collection":[225],"appreciated,":[227],"extending":[228],"through":[229,260],"sternum":[231],"subcutaneous":[234],"tissues,":[235],"30":[236],"20":[238],"dimension.":[241],"Re-sternotomy":[242],"performed":[244],"mass":[248],"opened":[250],"drained.":[252],"extension":[255],"median":[258],"sternotomy":[259],"epigastrium,":[262],"prosthesis":[277],"fill":[279],"empty":[281],"space":[282,312],"left":[283],"by":[284,316],"abscess.":[286],"Conclusions:":[287],"The":[288],"known":[293],"cardiothoracic":[295],"surgery":[296],"its":[298,321,338],"valuable":[299],"features":[300],"such":[301],"plasticity,":[303],"immune":[304],"competence,":[305],"good":[306],"blood":[307],"supply":[308],"neovascularization-potential.":[310],"Dead":[311],"can":[313,342],"obliterated":[315],"omental":[317],"flap":[318],"because":[319],"plasticity":[322],"qualities.":[323],"It":[324],"contains":[325],"large":[327],"number":[328],"immunologically":[330],"active":[331],"cells":[332],"likely":[333],"responsible":[336],"anti-infective":[339],"properties.":[340],"We":[341],"affirm":[343],"use":[345],"post-operative":[355],"cases":[357],"cardiac":[359],"surgery.":[360]},"counts_by_year":[],"updated_date":"2026-09-26T08:19:03.415552","created_date":"2016-06-24T00:00:00"}
