Morita M, Tanaka K, Mieno S, Kakimoto S
Department of Thoracic Surgery, Minami Osaka Hospital, Japan.
Kyobu Geka. 1999 May;52(5):398-400.
Mediastinitis after cardiac surgery is a serious complication with high mortality rates. A 66-year-old woman undergoing CABG developed mediastinitis due to MRSA. The infection was treated by radical debridement and continuous mediastinal irrigation. At the 9th day of irrigation, vein graft rupture with massive bleeding was suddenly occurred and instantly surgical repair (suture of ruptured vein graft) and omental transposition were done. We conclude that omental flap transposition is effective in the management of mediastinitis after cardiac surgery.
心脏手术后纵隔炎是一种严重并发症，死亡率很高。一名66岁接受冠状动脉旁路移植术（CABG）的女性因耐甲氧西林金黄色葡萄球菌（MRSA）感染发生纵隔炎。通过彻底清创和持续纵隔冲洗治疗感染。在冲洗第9天时，突然发生静脉移植物破裂并大量出血，随即进行了手术修复（缝合破裂的静脉移植物）和大网膜移位术。我们得出结论，大网膜瓣移位术在心脏手术后纵隔炎的治疗中是有效的。
