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Ann Thorac Surg 1995;60:190-191
© 1995 The Society of Thoracic Surgeons

Case Reports

Homograft Patch Repair for Hemorrhagic Mediastinitis

Mark C. Felger, MD, O. Lawayne Miller, MD, John H. Calhoon, MD, Edward Y. Sako, MD, PhD, Scott B. Johnson, MD, Gregory P. Wittpenn, MD, J. Kent Trinkle, MD

Division of Cardiothoracic Surgery, The University of Texas Health Science Center, San Antonio, Texas

Accepted for publication November 14, 1994.

Hemorrhage from the heart and great vessels is a potentially lethal complication of post-sternotomy mediastinitis. We report 2 cases in which a cryopreserved descending thoracic aortic homograft was used successfully to repair defects of the ascending aorta and right ventricle in the setting of active mediastinal infection. An overview of mediastinitis and management strategies for life-threatening mediastinal bleeding is included.




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[Abstract] [Full Text] [PDF]


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