Successful Continuous Irrigation for Methicillin-Resistant Staphylococcus aureus Mediastinitis after Open Heart Surgery in an Infant with Hypoplastic Left Heart Syndrome.
10.4326/jjcvs.31.214
- VernacularTitle:開心術後のＭＲＳＡ縦隔洞炎に対し縦隔内持続洗浄が奏効した左心低形成症候群の１乳児例
- Author:
Atsushi Ito
;
Kozo Ishino
;
Masaaki Kawada
;
Gentaro Kato
;
Tomohiro Asai
;
Yu Ohshima
;
Zen-ichi Masuda
;
Shunji Sano
- Publication Type:Journal Article
- Keywords:
MRSA
- From:Japanese Journal of Cardiovascular Surgery
2002;31(3):214-216
- CountryJapan
- Language:Japanese
-
Abstract:
A 2-month-old boy developed Methicillin-resistant Staphylococcus aureus (MRSA) mediastinitis after bidirectional Glenn anastomosis for hypoplastic left heart syndrome. After reexploration, only the skin was closed but the sternum left open, and continuous mediastinal irrigation using saline containing isodine was commenced at an infusion rate of 20-40ml/h. The sternum was closed on day 7 and irrigation was stopped on day 21. The patient was weaned from the ventilator 4 days later, and is currently in a good condition awaiting a Fontan operation.
