[Post operative mediastinitis: the experience of two cases after graft replacement of the ascending aorta].
A mediastinitis after a graft replacement of the ascending aorta is serious complication and sometimes could be lethal. We have experienced two cases of such a condition, recently. In both cases, the debridement of the mediastinum and omental transposition were performed. Case 1 had a recurrent mediastinitis due to residual dead space infection, but was cured by a percutaneous drainage and a continuous irrigation. In case 2, the omentum was carefully positioned to occupy the dead space around the graft, because of the experience of the first case and gave a good result. We believe that omental transposition is an effective treatment for the postoperative mediastinitis.
Murata
N
N
Department of Cardiovascular Surgery, Ohta-Nishinouchi Hospital, Kohriyama, Japan.
Ozawa
A
A
Hanabusa
Y
Y
Ohta
H
H
Yamada
F
F
Suzuki
H
H
Takeda
H
H
Katouno
E
E
Techigawara
M
M
Oowada
K
K
D000328:Adult; D001011:Aorta / Q000601:surgery*; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D003646:Debridement; D005260:Female; D006801:Humans; D008297:Male; D008480:Mediastinitis / Q000601:surgery*; D009852:Omentum / Q000637:transplantation; D011183:Postoperative Complications / Q000601:surgery; D016459:Prosthesis-Related Infections / Q000601:surgery*