A case report of mediastinitis due to methicillin resistant Staphylococcus aureus after total aortic arch replacement

A 78-year-old man underwent total aortic arch replacement for ruptured aortic arch aneurysm. Two weeks after the surgery, high fever and leucocytosis developed. He was placed on a regimen of antibiotics. However, mediastinitis eventually ensued five weeks later with the pus draining from the sternotomy wound. The culture revealed a Methicillin resistant staphylococcus aureus. The infected tissue was debrided from the mediastinal cavity 40 days postoperatively. The cavity was kept open and was intermittently irrigated with 2% Providone-iodine for three days. Subsequently, an omental graft was placed. The infection successfully subsided gradually and the patient has been well for a year and a half after the initial surgery. The procedure is considered to be extremely effective for the management of a drastic infection involving thoracic aortic prosthesis.

Medienart:

Artikel

Erscheinungsjahr:

1996

Erschienen:

1996

Enthalten in:

Zur Gesamtaufnahme - volume:44

Enthalten in:

Zasshi] [Journal]. Nihon Kyobu Geka Gakkai - 44(1996), 6 vom: 10. Juni, Seite 814-9

Sprache:

Japanisch

Beteiligte Personen:

Asano, S [VerfasserIn]
Murayama, H [VerfasserIn]
Ishida, A [VerfasserIn]
Nakagawa, Y [VerfasserIn]
Ito, M [VerfasserIn]
Sudo, Y [VerfasserIn]

Themen:

Case Reports
English Abstract
Journal Article
Review

Anmerkungen:

Date Completed 17.09.1996

Date Revised 27.07.2011

published: Print

Citation Status MEDLINE

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM087249510