Pseudoaneurysm of ascending aorta: A rare complication of mediastinitis following coronary artery bypass surgery [Assandan aortanin psödoanevrizmasi: Koroner arter baypas cerrahisinden sonra gelişen mediyastinitin nadir bir komplikasyonu]
Küçük Resim Yok
Tarih
2010
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Postoperative mediastinal infection after open-heart surgery via median sternotomy is a devastating complication. A 58-year-old male patient had mediastinitis in the early postoperative period of coronary artery bypass graft operation because of three vessel coronary artery disease. The sternum was reopened; all necrotic and infected tissues were resected. Then sternum was closed with modified Robicsek technique and pectoralis major muscle flap. Broad-spectrum antibiotic was given according to the antibiogram results of drainage fluid. He did well and discharged 20 days after the second surgery. He delayed his control visits and two months later, he was admitted with pulsating sternum and bleeding over the incision line. Chest X ray and computed tomography (CT) of the chest showed enlargement of upper mediastinum and a huge retrosternal pseudoaneurysm originating from the ascending aorta (Fig. 1, 2). He was taken to the operation theatre urgently and initially femoral artery cannulations were prepared. However, massive bleeding occurred at the time of sternotomy. He died although urgent cardiopulmonary bypass was tried. A huge and ruptured pseudoaneurysm originating from the proximal anastomosis site of saphenous vein graft was observed over the ascending aorta. As a result of this experience, we advice to take a control chest CT two or three weeks after a successful treatment of mediastinitis or on discharge. © 2010 by AVES Yayincilik Ltd.
Açıklama
Anahtar Kelimeler
Kaynak
Anadolu Kardiyoloji Dergisi
WoS Q Değeri
Scopus Q Değeri
N/A
Cilt
10
Sayı
3
