Acute mediastinal bleeding during vacuum-assisted closure.
Vacuum-assisted closure is commonly used to treat post-sternotomy mediastinitis. Several studies show improved outcome using vacuum-assisted therapy; however, risks using negative pressure should not be underestimated. We describe two cases of acute mediastinal bleeding during vacuum treatment for post-sternotomy mediastinitis and discuss preventative measurements.
Department of Cardiothoracic Surgery, St. Antonius Hospital, Nieuwegein, The Netherlands.
Roemer J
RJ
Vos
Alaaddin
A
Yilmaz
Uday
U
Sonker
Geoffrey T L
GT
Kloppenburg
D000208:Acute Disease; D006470:Hemorrhage / Q000209:etiology*; D006801:Humans; D008297:Male; D008477:Mediastinal Diseases / Q000209:etiology*; D008875:Middle Aged; D054843:Negative-Pressure Wound Therapy / Q000009:adverse effects*; D012720:Severity of Illness Index; D056346:Sternotomy; D014947:Wounds and Injuries / Q000628:therapy*