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J Korean Wound Management Soc > Volume 3(2); 2007 > Article
Journal of the Korean Wound Management Society 2007;3(2): 89-91.
관상동맥우회술 환자의 대복재정맥채취부위의 괴사성 창상에 대한 V.A.C.를 이용한 치험례
장철호ㆍ임소영ㆍ변재경ㆍ문구현ㆍ방사익ㆍ오갑성
성균관대학교 의과대학 성형외과학교실
A Case Report of Treatment of Necrotic Wound after Great Saphenous Vein Harvest for Coronary Revascularization with V.A.C.
Cheol Ho Chang, So Young Lim, Jae Kyong Pyon, Goo Hyun Mun, Sa Ik Bang, Kap Sung Oh
Department of Plastic Surgery, Samsung Medical Center, Sungkyunkwan University of Medicine, Seoul, Korea
  Published online: 30 November 2007.
ABSTRACT
Vacuum Assisted Closure (V.A.C.) therapies for various wounds are increasing because it facilitate wound-healing capacity. A 66-year-old man was presented with a necrotic wound of lower leg after great saphenous vein harvest for coronary revascularization. After applications of V.A.C for two months, the wound size was decreased from 17X7cm to 7.5X4 cm, and the wound was healed completely without any complications after additional treatments with polyurethane foam for 2 months. The V.A.C can be a good option for the patient who can't tolerate the surgery because of poor general conditions such as cardiovascular problems like this case. (J Korean Wound Care Soc 2007;3:89-91)
Key Words: V.A.C., CABG, Saphenous vein
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