Partanen J, Verkkala K A, Karhunen P J, Kauppila R, Nieminen M S
Department of Medicine, Helsinki University Central Hospital.
Scand J Thorac Cardiovasc Surg. 1996;30(3-4):167-73. doi: 10.3109/14017439609107263.
Profuse spontaneous haemorrhage occurred in association with mediastinitis after median sternotomy for coronary bypass surgery in three men aged 54, 47 and 59 years. The bleeding sites were aorta, right ventricle and saphenous bypass graft. The aortic rupture occurred during closed lavage, the right ventricle ruptured during open saline mediastinal packing and the saphenous vein graft was eroded by a mediastinal drainage tube after discontinuation of closed lavage. This third patient survived and recovered, but the two others died. Previously published reports of 56 patients with 65 bleedings from this rare complication are reviewed. The outcome was fatal in 34% of cases.
在54岁、47岁和59岁的三名男性患者行冠状动脉搭桥手术正中开胸术后，发生了与纵隔炎相关的大量自发性出血。出血部位为主动脉、右心室和大隐静脉旁路移植血管。主动脉破裂发生在闭式灌洗期间，右心室破裂发生在开放盐水纵隔填塞期间，大隐静脉移植血管在闭式灌洗停止后被纵隔引流管侵蚀。第三名患者存活并康复，但另外两名患者死亡。回顾了此前发表的关于56例患者出现65次这种罕见并发症出血的报告。34%的病例预后是致命的。
