Mediastinitis after percutaneous dilatational tracheostomy.
In our experience, PDT after total arch replacement, especially after dissection of neck vessels, should be approached with caution. A long skin incision that allows discharge to drain from the wound and a sufficiently long postoperative tracheostomy period to allow tissue healing in the neck are necessary for prevention of mediastinitis.
Maeda
K
K
Department of Cardiothoracic Surgery, University of Tokyo, Hospital 7-3-1 Hongo, Tokyo, Japan.
Ninomiya
M
M
Moyairi
T
T
Morota
T
T
Kitamura
R
R
Takamoto
S
S
D000368:Aged; D000369:Aged, 80 and over; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D008480:Mediastinitis / Q000209:etiology*; D014139:Tracheostomy / Q000009:adverse effects* / Q000379:methods*