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Ann Thorac Surg 2006;81:2279-2281
© 2006 The Society of Thoracic Surgeons

Case report

Successful Video-Assisted Mediastinoscopic Drainage of Descending Necrotizing Mediastinitis

Kimihiro Shimizu, MD a , * , Yoshimi Otani, MD a , Tetuhiro Nakano, MD a , Yukihiro Takayasu, MD b , Yoshihito Yasuoka, MD b , Yasuo Morishita, MD a

a Division of Thoracic and Visceral Organ Surgery, Gunma University Faculty of Medicine, Gunma, Japan
b Division of Head and Neck Surgery, Gunma University Faculty of Medicine, Gunma, Japan

Accepted for publication July 25, 2005.

* Address correspondence to Dr Shimizu, Division of Thoracic and Visceral Organ Surgery, Gunma University Faculty of Medicine, 3-39-15 Showa-machi, Maebashi, Gunma, 371-8511 Japan (Email: kmshimiz{at}showa.gunma-u.ac.jp).

Descending necrotizing mediastinitis is an uncommon form of mediastinitis that can rapidly progress to septacemia. To date, the optimal surgical approach has remained controversial. We report a case of descending necrotizing mediastinitis that was treated successfully through a transcervical approach with video-assisted mediastinoscopy. In our case, because the abscess was separated into small compartments, especially in the paratracheal space, the abscess was drained using video-assisted mediastinoscopy. This less-invasive approach may be an option in the treatment of descending necrotizing mediastinitis, especially when the abscess in the paratracheal space is separated into small compartments.




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 J. Thorac. Cardiovasc. Surg.Home page
K.-C. Chen, J.-S. Chen, S.-W. Kuo, P.-M. Huang, H.-H. Hsu, J.-M. Lee, and Y.-C. Lee
Descending necrotizing mediastinitis: A 10-year surgical experience in a single institution
J. Thorac. Cardiovasc. Surg., July 1, 2008; 136(1): 191 - 198.
[Abstract] [Full Text] [PDF]


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