Omental Flap as Primary Surgical Treatment in Post-Operative Mediastinitis After Cardiac Surgery
نویسندگان
چکیده
منابع مشابه
omental flap as primary surgical treatment in post-operative mediastinitis after cardiac surgery
case presentation a 43-year-old man was referred to our institution for a severe aortic regurgitation and an ascending aorta enlargement associated with a relapsing sub-aortic membrane, which had been treated in his childhood. he underwent a redo ascending aorta replacement and an aortic valve replacement (mechanical prosthesis) along with a resection of the relapsing sub-valvular membrane. som...
متن کاملTreatment of severe mediastinitis following cardiac surgery with omental flaps.
1 of 2 DESCRIPTION The incidence of mediastinal wound infection in patients undergoing open heart surgery can be up to 4%. 1 A subgroup of 20–30% of those patients as per El Oakley and Wright 2 develops deep sternal infections. Radical debridement is of a paramount importance, therefore sternal excision becomes a necessity in cases with severe sternal osteomyelitis. Under those circumstances va...
متن کاملPost-sternotomy mediastinitis after cardiac surgery
Post-sternotomy mediastinitis (PSM) is a rare but devastating complication, which may occur after cardiac surgery, and which increases mortality and morbidity tremendously. This study showed a statistically significant increased in-hospital mortality of patients with deep sternal wound infection (DSWI) compared with patients without DSWI (8.1% versus 2.7%, respectively) (p=0.03). For long-term ...
متن کاملSternal Wound Reconstruction With Omental Flap for Poststernotomy Mediastinitis
Figure 1. Mediastinal defect with exposed pros-thetic aortic root graft. DESCRIPTION A 70-year-old woman with short stature and hypermastia underwent ascending aortic aneurysm repair with a prosthetic graft, complicated by postoperative mediastinitis and sternal dehiscence. She was treated with aggressive sternal debridement and negative pressure wound therapy for 1 week (Fig 1) prior to defini...
متن کاملPostoperative mediastinitis after cardiac surgery Author
INTRODUCTION — Prior to the development of modern cardiovascular surgery, most cases of mediastinitis arose from either esophageal perforation or from contiguous spread of odontogenic or retropharyngeal infections. Rarely, primary infections of the mediastinum developed as a result of penetrating trauma or hematogenous spread of infection. However, in modern practice, most cases of mediastiniti...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: Razavi International Journal of Medicine
سال: 2014
ISSN: 2345-6426,2345-6434
DOI: 10.5812/rijm.15366