纵隔炎并发成功的心脏移植机械过渡

Mediastinitis complicating successful mechanical bridge to heart transplantation.

作者信息

Rooks J R, Burton N A, Lefrak E A, Macmanus Q

机构信息

Cardiac Surgery Section of Fairfax Hospital, Falls Church, Va.

出版信息

J Heart Lung Transplant. 1992 Mar-Apr;11(2 Pt 1):261-4.

PMID:1576131

Abstract

A 22-year-old man with severe end-stage cardiomyopathy required placement of a left ventricular assist device. Purulent mediastinitis and peritonitis developed while the device was in place. The patient survived a prolonged course of treatment, with mediastinal and peritoneal irrigation and parenteral antibiotics, before undergoing a successful heart transplantation 12 weeks after placement of the left ventricular assist device.

摘要

一名22岁患有严重终末期心肌病的男子需要植入左心室辅助装置。在装置植入期间发生了化脓性纵隔炎和腹膜炎。患者在接受了长时间的治疗过程，包括纵隔和腹腔冲洗以及胃肠外抗生素治疗后存活下来，在植入左心室辅助装置12周后成功接受了心脏移植。