10年内因感染和血肿扩大行多次正中胸骨切开术1例。
A case of multiple median sternotomy for infection and expanding hematoma in 10 years.
作者信息
Nakajima Tomohiro, Iba Yutaka, Shibata Tsuyoshi, Kawaharada Nobuyoshi
机构信息
Department of Cardiovascular Surgery, Sapporo Medical University School of Medicine, South-1, West-16, Chuo-ku, Sapporo, 060-8543, Japan.
出版信息
Egypt Heart J. 2023 Oct 6;75(1):80. doi: 10.1186/s43044-023-00411-z.
BACKGROUND
After a median sternotomy, mediastinitis may develop, necessitating reopening of the chest. Rarely, reoperation due to hematoma after cardiovascular surgery is experienced. In the present case, we experienced a patient who initially had mediastinitis, but later developed a chronic hematoma and underwent multiple surgeries.
CASE PRESENTATION
The patient was a 40-year-old man who underwent aortic valve replacement for a bicuspid aortic valve and a graft for a dilated ascending aorta. Postoperatively, he developed hematoma in the anterior mediastinum on multiple occasions with repeated episodes of infection that required multiple median sternotomies.
CONCLUSIONS
We reported our experience with a rare case of multiple median sternotomies. In the early stage, mediastinitis due to infection was observed, and in the late stage, mediastinal dilatation due to hemorrhage was observed.
背景
正中开胸术后可能发生纵隔炎，需要再次开胸。心血管手术后因血肿而再次手术的情况较为罕见。在本病例中，我们遇到一名患者，最初患有纵隔炎，但后来出现慢性血肿并接受了多次手术。
病例介绍
该患者为一名40岁男性，因二叶式主动脉瓣行主动脉瓣置换术，并因升主动脉扩张行血管移植术。术后，他多次在前纵隔出现血肿，并伴有反复感染发作，需要多次正中开胸。
结论
我们报告了这例罕见的多次正中开胸病例的经验。早期观察到因感染导致的纵隔炎，晚期观察到因出血导致的纵隔扩张。
Zotero 插件