Macmanus Q, Okies J E
Am J Surg. 1976 Nov;132(5):558-61. doi: 10.1016/0002-9610(76)90340-8.
In our experience, eight of ten aortocoronary grafts in five patients remained patent in the face of mediastinal infection. Combining reports of seventeen other grafts from the literature, we conclude that patency can be anticipated in approximately 70 per cent of such grafts and that mediastinal infection does not necessarily adversely affect aortocoronary saphenous vein bypass graft patency. We recommend aggressive therapy of mediastinal infection in this setting due to the high survival rate which can be anticipated with modern methods of therapy, as well as the high probability of graft patency.
根据我们的经验，5例患者的10条主动脉冠状动脉移植血管中有8条在纵隔感染的情况下仍保持通畅。结合文献中其他17条移植血管的报告，我们得出结论，大约70%的此类移植血管可以预期保持通畅，纵隔感染不一定会对主动脉冠状动脉大隐静脉旁路移植血管的通畅性产生不利影响。由于现代治疗方法可预期的高生存率以及移植血管通畅的高概率，我们建议在这种情况下对纵隔感染进行积极治疗。
