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Ann Thorac Surg 1984;38:415-423
© 1984 The Society of Thoracic Surgeons

Articles

Mediastinal Infection after Cardiac Surgery

Michael G. Sarr, M.D.*, Vincent L. Gott, M.D., Timothy R. Townsend, M.D.

Departments of Surgery and Hospital Epidemiology, Johns Hopkins Hospital, Baltimore, MD

* Address reprint requests to Dr. Sarr, Department of Surgery, Johns Hopkins Hospital, Baltimore, MD 21205

Mediastinitis is an uncommon complication after cardiac surgery; however, its associated morbidity and mortality demand early recognition and emergency therapy. This review is intended to emphasize certain features of the incidence, pathogenesis, and bacteriology of this complication in patients undergoing cardiopulmonary bypass through a median sternotomy. The diagnosis and treatment of mediastinitis after cardiac surgical procedures, as well as methods of prevention, are also reviewed.




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