[Management for the postoperative mediastinitis in infancy].
Postoperative mediastinitis is a rare but life-threatening complication after cardiac surgery. We successfully managed three infants with postoperative mediastinitis. When the postoperative mediastinitis was suspected, intravenous infusion of antibiotics (Vancomycin) and local irrigation were performed. The reoperation for closure was planned when the value of c-reactive protein decreased to 1.0-2.0. An application of a pectoral musculocutaneous flap was effective when the sternum was destroyed by infection.
Sakamoto
T
T
Division of Cardiovascular Surgery, Matsudo Municipal Hospital, Chiba, Japan.
Nagase
Y
Y
Watanabe
H
H
Shibairi
M
M
Utsumi
K
K
Nakano
H
H
Kosai
Y
Y
D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D005260:Female; D006330:Heart Defects, Congenital / Q000601:surgery; D006801:Humans; D007223:Infant; D008297:Male; D008480:Mediastinitis / Q000188:drug therapy*; D016106:Methicillin Resistance; D011183:Postoperative Complications / Q000188:drug therapy*; D013203:Staphylococcal Infections / Q000188:drug therapy*; D013211:Staphylococcus aureus / Q000187:drug effects; D007507:Therapeutic Irrigation; D014640:Vancomycin / Q000627:therapeutic use*
D000900:Anti-Bacterial Agents; D014640:Vancomycin