Innominate artery rupture after transcervical drainage for descending necrotizing mediastinitis.
We present a case of innominate artery rupture after descending necrotizing mediastinitis (DNM) on day 36 of cervicomediastinal drainage. The patient recovered after aortosubclavian arterial bypass grafting followed by resection of the eroded artery. Because mechanical pressure caused by drains in addition to the inflammatory process can cause major vessel erosion, prolonged transcervical tube drainage for treating descending necrotizing mediastinitis should be avoided even if the drains applied are soft and thin.
Department of Surgery, Institute of Clinical Medicine, University of Tsukuba, Ibaraki, Japan.
H
H
Ichimura
S
S
Ishikawa
Y
Y
Hiramatsu
Y
Y
Sakakibara
M
M
Onizuka
D000784:Aortic Dissection / Q000209:etiology*; D016122:Brachiocephalic Trunk; D004322:Drainage / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008480:Mediastinitis / Q000473:pathology / Q000628:therapy*; D008875:Middle Aged; D009336:Necrosis