Omental transposition for mediastinitis with sternal dehiscence following open-heart surgery.

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منابع مشابه

[Risk factors for mediastinitis and sternal dehiscence after cardiac surgery].

INTRODUCTION AND OBJECTIVES The aim of our study was to identify risk factors for the development of post-sternotomy mediastinitis and sternal dehiscence without infection. PATIENTS AND METHOD The records of all patients who presented with sternal abnormalities between January 1, 1997 and December 31, 2003 were reviewed retrospectively, and potential risk factors were examined. Patients were ...

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Sternal 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...

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Treatment 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...

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Mediastinitis and sternal prosthesis infection successfully treated by minimally invasive omental flap transposition

Purulent mediastinitis is a possible serious complication after mediastinal surgery. We report the case of a localized sternal plasmocytoma treated by sternectomy and prosthetic repair, who needed a second surgery for a fistulizing mediastinitis. Five months earlier, in another Hospital, the patient underwent sternal resection and reconstruction with a "sandwich" prosthesis (Methyl-methacrylate...

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Kluyvera mediastinitis following open-heart surgery: a case report.

Reports of serious infections caused by Kluyvera spp. have been rare. A case of Kluyvera sp. mediastinitis and bacteremia in a man after open-heart surgery is described. The clinical significance of Kluyvera sp. isolates was debated in early descriptions of the organism. More recent reports, as well as the present case, suggest that the pathogenic potential of this organism is being increasingl...

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ژورنال

عنوان ژورنال: Japanese Journal of Cardiovascular Surgery

سال: 1986

ISSN: 1883-4108,0285-1474

DOI: 10.4326/jjcvs.15.408