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Ann Thorac Surg 1999;68:863
© 1999 The Society of Thoracic Surgeons

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Commentary

^a Dept of Thoracic and Cardiovascular Surgery, Jichi Medical School, Yakushiji 3311-1, Minami-Kawachi, Tochigi, Japan 329-0498

e-mail: tcvmisa@jichi.ac.jp

Invited commentary

Mediastinitis after cardiac surgery is a serious and potentially lethal complication. Bacterial culture from mediastinal fluid or tissues is essential for a definite, accurate diagnosis of mediastinitis, and it is of great importance to the cardiovascular surgeon to diagnose mediastinitis as soon as possible before signs and symptoms appear. Awareness of clinical signs and symptoms is necessary for diagnosis, and radiographic examination including computed tomography (CT) can provide helpful information. However, no specific chest CT findings for poststernotomy mediastinitis have yet been described. . . . [Full Text of this Article]

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