ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Yoshio Misawa
Katsuo Fuse
Tsuguo Hasegawa
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Misawa, Y.
Right arrow Articles by Hasegawa, T.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Misawa, Y.
Right arrow Articles by Hasegawa, T.

Ann Thorac Surg 1998;65:622-624
© 1998 The Society of Thoracic Surgeons

Original Articles: Cardiovascular

Infectious Mediastinitis After Cardiac Operations: Computed Tomographic Findings

Yoshio Misawa, MD, PhD, Katsuo Fuse, MD, PhD, Tsuguo Hasegawa, MD, PhD

Department of Thoracic and Cardiovascular Surgery, Jichi Medical School, Tochigi, Japan

Accepted for publication August 21, 1997.

Dr Misawa, Department of Thoracic and Cardiovascular Surgery, Jichi Medical School, Yakushiji 3311-1, Minami-Kawachi, Tochigi, 329-04, Japan.

Background. Infectious mediastinitis after cardiac operations is of great concern to cardiac surgeons because of its poor prognosis. Prompt surgical interventions such as debridement and irrigation are the key to treatment of infectious mediastinitis.

Methods. We surveyed retrospectively the cases of 722 consecutive cardiac surgery patients at our hospital. Mediastinitis developed in 21 patients after the cardiac operation. We performed computed tomography in 11 of these patients before resternotomy and in 10 patients as the control 2 to 3 weeks after the cardiac operation.

Results. Mediastinal soft tissue swelling was seen in 7 patients, bilateral pleural effusion was found in 9 patients, sternal dehiscence or sternal erosion was observed in 8 patients, and subcutaneous fluid accumulation was found in 7 of the mediastinitis group. Unilateral pleural effusion was seen in 6 and bilateral effusion in 1, and mediastinal soft tissue swelling was seen in 1 patient of the control group.

Conclusions. Our study showed that mediastinal soft tissue mass combined with bilateral pleural effusion can be a characteristic computed tomography finding in post-sternotomy infectious mediastinitis, and that chest computed tomography is more sensitive to detecting sternal dehiscence, sternal erosion, and subcutaneous fluid accumulation.




This article has been cited by other articles:


Home page
 J. Thorac. Cardiovasc. Surg.Home page
J. E. Molina, E. C. Nelson, and R. R.A. Smith
Treatment of postoperative sternal dehiscence with mediastinitis: Twenty-four year use of a single method
J. Thorac. Cardiovasc. Surg., October 1, 2006; 132(4): 782 - 787.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
V. P. Argitis, P. Schnyder, and L. K. von Segesser
Editorial comment: Bauernschmitt et al. "Pitfall in the computed-tomography-diagnosis of postcardiotomy infection: iodine accumulation after irrigation mimicking retrosternal abscess"
Eur. J. Cardiothorac. Surg., April 1, 2005; 27(4): 707 - 708.
[Full Text] [PDF]

Home page
 SEMIN CARDIOTHORAC VASC ANESTHHome page
C. Weissman
Pulmonary Complications After Cardiac Surgery
Seminars in Cardiothoracic and Vascular Anesthesia, September 1, 2004; 8(3): 185 - 211.
[Abstract] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
Y. Misawa
Which is better for treatment of mediastinitis following heart surgery, omental or muscle flap transfer?
Eur. J. Cardiothorac. Surg., July 1, 2004; 26(1): 232 - 233.
[Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
S. Benlolo, J. Mateo, L. Raskine, O. Tibourtine, A. Bel, D. Payen, and A. Mebazaa
Sternal puncture allows an early diagnosis of poststernotomy mediastinitis
J. Thorac. Cardiovasc. Surg., March 1, 2003; 125(3): 611 - 617.
[Abstract] [Full Text] [PDF]

Home page
 Journal of the American Animal Hospital AssociationHome page
D. H. Pelsue, E. Monnet, J. S. Gaynor, B. E. Powers, K. Halling, D. Parker, and A. Golden
Closure of Median Sternotomy in Dogs: Suture Versus Wire
J. Am. Anim. Hosp. Assoc., November 1, 2002; 38(6): 569 - 576.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
C. Y. Bitkover, K. Cederlund, B. Aberg, and J. Vaage
Computed tomography of the sternum and mediastinum after median sternotomy
Ann. Thorac. Surg., September 1, 1999; 68(3): 858 - 863.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
Y. Misawa

Ann. Thorac. Surg., September 1, 1999; 68(3): 863 - 863.
[Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
H. Yokoyama, M. Sadahiro, A. Iguchi, M. Ohmi, K. Tabayashi, and S. Tanaka
Remnant omental transfer for the mediastinitis after coronary bypass surgery with right gastroepiploic artery
Ann. Thorac. Surg., July 1, 1999; 68(1): 269 - 271.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
Y. Misawa and K. Fuse
Sternal dehiscence in poststernotomy mediastinitis
Ann. Thorac. Surg., August 1, 1998; 66(2): 602 - 602.
[Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
Y. Misawa and K. Fuse
Muscle flap transfer or omental transfer for treatment of poststernotomy mediastinitis
Ann. Thorac. Surg., July 1, 1998; 66(1): 296 - 297.
[Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1998 by The Society of Thoracic Surgeons.