Kawashima T, Kamisawa O, Ohki S, Hasegawa N, Konishi H, Fuse K
Department of Thoracic and Cardiovascular Surgery, Jichi Medical School, Tochigi, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1997 Feb;45(2):220-4.
Thoracic graft infection is a serious complication with high mortality. We report a case of successful treatment of mediastinitis and graft infection after aortic arch and thoracoabdominal aortic reconstruction. A 56-year-old woman underwent surgery for thoracoabdominal aortic aneurysm. The aneurysm was replaced with prosthetic grafts. She had a high fever on the 12th postoperative day (POD). A Chest X-ray and CT scan demonstrated fluid collection around the grafts. On the 17th POD, mediastinal drainage was performed and Staphylococcus epidermidis was detected. Because of the difficulty to replace the infected grafts, a continuous drainage from the mediastinal cavity around the grafts was induced for 17 days and sensitive antibiotics to the pathogen was administered systemically for 40 days. Inflammatory reactions were improved and her general condition was stabilized. On the 64th POD, she was discharged.
胸段移植物感染是一种严重并发症，死亡率很高。我们报告一例成功治疗主动脉弓及胸腹主动脉重建术后纵隔炎和移植物感染的病例。一名56岁女性接受了胸腹主动脉瘤手术。动脉瘤被人工血管替代。术后第12天她出现高热。胸部X线和CT扫描显示移植物周围有积液。术后第17天，进行了纵隔引流，检测到表皮葡萄球菌。由于更换感染移植物困难，对移植物周围纵隔腔进行持续引流17天，并针对病原体全身应用敏感抗生素40天。炎症反应得到改善，她的一般状况稳定。术后第64天，她出院了。
