Omental Transfer for Chronic Mediastinits in Two Patients after Cardiac Surgery.
10.4326/jjcvs.21.309
- VernacularTitle:開心術後の慢性縦隔洞炎に対し大網移植を用いた２手術治験例
- Author:
Yoshio SUDO
;
Yoshiharu TAKAHARA
;
Hirokazu MURAYAMA
;
Toshiaki SEZAKI
;
Tsunetaro NAKAMURA
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
1992;21(3):309-313
- CountryJapan
- Language:Japanese
-
Abstract:
Two patients of chronic mediastinitis after cardiac surgery were treated by omental transfer. Their previous cardiac operations were open mitral commissurotomy and aortic valve replacement. They underwent radical surgical therapy for mediastinitis 8 to 9 years after the first cardiac surgery. In both cases, the infection resulted from Dacron felt on the ascending aorta. Under the cardiopulmonary bypass, the Dacron felt and infected tissue were resected. And omental transfer was done to prevent recurrent infection. The patients have been follwed up for 10 to 14 months. And they have no symptoms of their mediastinitis during these periods. From these experience, we consider that omental transfer is very helpful to treat infectious complications after cardiac surgery.
