4,955 results match your criteria Mediastinitis


Fibrosing Mediastinitis Requiring Multi-modality Treatment to Maintain Pulmonary Vein Patency.

Semin Thorac Cardiovasc Surg 2020 May 22. Epub 2020 May 22.

Department of Thoracic Surgery, RWJBarnabas Health; Newark Beth Israel Medical Center, Newark, NJ; Department of Thoracic Surgery, RWJBarnabas Health; Saint Barnabas Medical Center, West Orange, NJ; Department of Surgery, RWJBarnabas Health; Saint Barnabas Medical Center, Livingston, NJ. Electronic address:

Fibrosing mediastinitis (FM) is a rare condition with limited epidemiologic data. We detail a case of a 43-year-old female with no past medical history, who presented with chest pain and dyspnea on exertion. Chest computed tomography revealed a large mediastinal mass that was invading into the anterior chest as well as encasing the pulmonary hilum. Read More

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http://dx.doi.org/10.1053/j.semtcvs.2020.05.013DOI Listing

Acute mediastinitis associated with tracheobronchial tuberculosis and aspergillosis: a case report and literature review.

J Int Med Res 2020 May;48(5):300060520918469

Department of Pulmonary and Critical Care Medicine, First Hospital of China Medical University, Shenyang, Liaoning, China.

Acute mediastinitis (AM) is a rare but life-threatening disease. Here, we report a case of AM secondary to endobronchial tuberculosis (EBTB) and pseudomembranous tracheobronchitis (PMATB) co-infection. EBTB was confirmed by tissue culture for and GeneXpert MTB/RIF (Cepheid, Sunnyvale, CA, USA) detection (simultaneous detection of and resistance to rifampin) using endobronchial biopsies; PMATB was confirmed by histopathology. Read More

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http://dx.doi.org/10.1177/0300060520918469DOI Listing

Spontaneous community-acquired PVL-producing Staphylococcus aureus mediastinitis in an immunocompetent adult - a case report.

BMC Infect Dis 2020 May 19;20(1):354. Epub 2020 May 19.

Réanimation polyvalente, CHU Dupuytren, 2 avenue Martin Luther King, F-87000, Limoges, France.

Background: Mediastinitis caused by hematogenous spread of an infection is rare. We report the first known case of community-acquired mediastinitis from hematogenous origin in an immunocompetent adult. This rare invasive infection was due to Panton-Valentine Leucocidin-producing (PVL+) methicillin-susceptible Staphylococcus aureus (MSSA). Read More

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http://dx.doi.org/10.1186/s12879-020-05076-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7236110PMC

Is the Obesity Paradox in Cardiac Surgery Really a Myth? Effect of Body Mass Index on Early and Late Clinical Outcomes.

J Cardiothorac Vasc Anesth 2020 Apr 19. Epub 2020 Apr 19.

Critical Care, Instituto Cardiovascular de Buenos Aires, Buenos Aires, Argentina.

Objective: The present study was conducted to investigate the obesity paradox and assess the effect of body mass index (BMI) on early and late clinical outcomes after cardiac surgery.

Design: Cohort study with a retrospective analysis of prospectively collected data.

Design: Single-institution cardiology medical center. Read More

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http://dx.doi.org/10.1053/j.jvca.2020.03.051DOI Listing

Surgery for Bentall endocarditis: short- and midterm outcomes from a multicentre registry.

Eur J Cardiothorac Surg 2020 May 17. Epub 2020 May 17.

Cardiothoracic Department, University Hospital of Udine, DAME Udine Medical School, Udine, Italy.

Objectives: Endocarditis after the Bentall procedure is a severe disease often complicated by a pseudoaneurysm or mediastinitis. Reoperation is challenging but conservative therapy is not effective. The aim of this study was to assess short- and midterm outcomes of patients reoperated on for Bentall-related endocarditis. Read More

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http://dx.doi.org/10.1093/ejcts/ezaa136DOI Listing

Emergency Laparoscopic Repair of an Iatrogenic Gastric Perforation in a Hiatal Hernia following a Failed Endoscopic Closure.

Case Rep Surg 2020 25;2020:5060962. Epub 2020 Mar 25.

Department of Surgery, West Virginia University School of Medicine, One Medical Center Drive, PO Box 9238, Morgantown, WV 26508, USA.

Iatrogenic gastrointestinal perforation is a rare, life-threatening complication of endoscopic procedures, which requires either endoscopic or surgical repair. We report the account of an 82-year-old woman with an iatrogenic gastric perforation of a hiatal hernia secondary to an endoscopic retrograde cholangiopancreatography (ERCP) procedure. Despite immediate recognition of the complication and endoscopic closure with through-the-scope (TTS) clips, the patient developed mediastinitis, peritonitis, and sepsis. Read More

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http://dx.doi.org/10.1155/2020/5060962DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7215237PMC

Commentary: Mediastinitis: Know the perps-keep the lights on and adapt strategy to asymptotically approach the Centers for Medicare and Medicaid Services "never-event" status.

J Thorac Cardiovasc Surg 2020 Apr 10. Epub 2020 Apr 10.

Reif Heart Institute, Woodall Heart and Vascular Center, Doylestown Hospital, Doylestown, Pa. Electronic address:

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http://dx.doi.org/10.1016/j.jtcvs.2020.03.090DOI Listing

Emerging trends in mediastinitis: National Veterans Health Administration experience with methicillin-resistant Staphylococcus aureus prevention.

J Thorac Cardiovasc Surg 2020 Apr 6. Epub 2020 Apr 6.

Department of Cardiothoracic Surgery, Louis Stokes Cleveland VA Medical Center, Cleveland, Ohio.

Objectives: Perioperative bacterial decolonization and prophylactic antibiotic therapy at the Veterans Affairs Health Care System have changed over the past decade. Our objectives were to identify associated changes in the microbiology of mediastinitis and to perform a contemporary survival analysis in patients with mediastinitis after isolated coronary artery bypass grafting procedure.

Methods: From January 2006 to December 2015, 45,323 consecutive patients underwent coronary artery bypass grafting at 83 medical centers. Read More

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http://dx.doi.org/10.1016/j.jtcvs.2020.02.116DOI Listing
April 2020
4.168 Impact Factor

[Pulmonary Adenocarcinoma Responding to Fourth-Line S-1 Monotherapy-A Case Report].

Gan To Kagaku Ryoho 2020 Mar;47(3):445-447

Dept. of General Thoracic Surgery, Japanese Red Cross Maebashi Hospital.

Herein, we report a case of unresectable lung cancer in which S-1 monotherapy contributed to an improvement in the patient's quality of life and to prolonged survival. A 44-year-old man with primary pulmonary adenocarcinoma(negative driver mutation and a PD-L1 tumor proportion score of 1-24%)of clinical stage ⅢA(cT4N0M0)underwent multidisciplinary treatment as follows: 1 ) weekly carboplatin and paclitaxel plus radiotherapy as induction chemoradiotherapy, 2 ) surgery that revealed that the lesion was unresectable, 3 ) cisplatin plus pemetrexed as second-line treatment, and 4 ) pembrolizumab as third-line treatment. However, the disease progressed after 19 courses of pembrolizumab, and the patient developed cachexia due to esophageal stenosis caused by tumor enlargement. Read More

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A Survey of Cardiac Surgery Infections with PICO™ Negative Pressure Therapy in High-Risk Patients.

Ann Thorac Surg 2020 May 1. Epub 2020 May 1.

Department of Cardiovascular and Thoracic Surgery, Rouen University Hospital, Rouen, France; Normandie Univ, UNIROUEN, INSERM U1096 EnVi, Rouen, France.

Background: Surgical Site Complications represent a major concern in many surgical specialties, responsible for increased length of stay in hospital and additional treatments and care needed. The investigation herein aims to report survey data from the introduction of the PICO™ system into one hospital in France, involving cardiac surgery procedures via standard median sternotomy.

Methods: Patients were at high risk of developing surgical site infections (SSI). Read More

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http://dx.doi.org/10.1016/j.athoracsur.2020.03.087DOI Listing

Pulmonary complications following cardiac surgery.

Arch Med Sci Atheroscler Dis 2019 31;4:e280-e285. Epub 2019 Dec 31.

Department of Cardiology, Yazd Cardiovascular Research Centre, Shahid Sadoughi University of Medical sciences, Yazd, Iran.

Coronary heart disease is a common diseases of atherosclerosis. Despite the development of noninvasive therapies and the advancement of pharmacological methods and extensive drug regimens, coronary artery bypass grafting surgery is still the ultimate treatment option in many patients. Among the various complications following open heart surgery, one of the common difficulties is pulmonary complications associated with subsequent morbidity and mortality, which should be studied according to preoperative, perioperative, and postoperative factors. Read More

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http://dx.doi.org/10.5114/amsad.2019.91432DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7191937PMC
December 2019

Posterior mediastinitis caused by esophageal anisakiasis.

Clin Gastroenterol Hepatol 2020 Apr 30. Epub 2020 Apr 30.

Department of Gastroenterology, Sendai Kousei Hospital, Sendai, Japan.

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http://dx.doi.org/10.1016/j.cgh.2020.04.063DOI Listing

A Novel Technique for the Management of Massive Hemoptysis: The Customized Endobronchial Silicone Blocker.

Innovations (Phila) 2020 Mar/Apr;15(2):142-147

75438 Department of Interventional Pulmonolgy, Apollo Hospitals, Bengaluru, Karnataka, India.

Objective: Massive hemoptysis (MH) has a high mortality rate. Therapeutic options include bronchoscopy for endobronchial lesions, bronchial artery embolization (BAE), and emergency surgery. Scant options exist for patients who are not candidates for these modalities. Read More

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http://dx.doi.org/10.1177/1556984520904351DOI Listing

Infectious pericarditis caused by induced by Endobronchial Ultrasound-guided Transbronchial Needle Aspiration (EBUS-TBNA): A case report.

Respir Med Case Rep 2020 13;30:101057. Epub 2020 Apr 13.

Department of Onco-Cardiology, Osaka International Cancer Institute, 3-1-69 Otemae, Chuo-ku, Osaka, 541-8567, Japan.

A 69-year-old man had experienced right chest pain for several months. Chest computed tomography (CT) showed a right upper lobe lung tumor and swelling of multiple mediastinal and right hilar lymph node. Three punctures to 4R lymph nodes and two punctures to 11i lymph nodes were performed, using endobronchial ultrasonography. Read More

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http://dx.doi.org/10.1016/j.rmcr.2020.101057DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7183228PMC

Reconstruction with hypopharyngo-gastrostomy after esophagus extirpation due to spontaneous esophageal perforation.

Orv Hetil 2020 05;161(18):756-760

Semmelweis Egyetem, Budapest, Üllői út 78., 1082.

Despite the significant improvement in surgical and intensive care therapy, esophageal perforation is still a severe, life-threatening condition. As the underlying causes, the accompanying disorders, the localization and the extent of the inflammation vary, the surgeon may sometimes encounter unexpected situations. A 58-year-old female developed necrotizing mediastinitis due to esophageal perforation as the result of incarcerated thoracic hernia of the stomach, therefore, we had to perform esophagus extirpation and cervical esophagostomy. Read More

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http://dx.doi.org/10.1556/650.2020.31717DOI Listing

Commentary: Eliminating mediastinitis in Veterans Affairs patients-the American Association for Thoracic Surgery guidelines to the rescue.

Authors:
Harold L Lazar

J Thorac Cardiovasc Surg 2020 Apr 6. Epub 2020 Apr 6.

Division of Cardiac Surgery, Boston University School of Medicine, Boston, Mass. Electronic address:

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http://dx.doi.org/10.1016/j.jtcvs.2020.03.082DOI Listing

Commentary: Mediastinitis postcoronary artery bypass grafting: From awfully simple to simply awful.

J Thorac Cardiovasc Surg 2020 Apr 5. Epub 2020 Apr 5.

Division of Cardiac Surgery, St Michael's Hospital, University of Toronto, Toronto, Ontario, Canada. Electronic address:

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http://dx.doi.org/10.1016/j.jtcvs.2020.03.066DOI Listing

Aftermath of pulmonary tuberculosis: computed tomography assessment.

Pol J Radiol 2020 12;85:e144-e154. Epub 2020 Mar 12.

Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, India.

Purpose: Pulmonary tuberculosis (PTB) has clinically significant sequelae, even after recommended treatment completion. It is important to recognise these sequelae for accurate assessment of severity and treatment planning, if indicated.

Material And Methods: We retrospectively analysed contrast-enhanced computed tomography (CT) scans of chest of 100 patients with previous history of treated pulmonary tuberculosis, excluding those with active pulmonary disease. Read More

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http://dx.doi.org/10.5114/pjr.2020.93714DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7172931PMC

Comparison of SynCardia total artificial heart and HeartWare HVAD biventricular support for management of biventricular heart failure: a systematic review and meta-analysis.

Ann Cardiothorac Surg 2020 Mar;9(2):69-80

Division of Cardiac Surgery, Thomas Jefferson University, Philadelphia, PA, USA.

Background: The aim of this study was to compare the outcomes of patients undergoing SynCardia total artificial heart (TAH) and biventricular HeartWare ventricular assist device (Bi-HVAD) support for biventricular heart failure (HF).

Methods: Electronic search was performed to identify all relevant studies detailing patients who underwent biventricular assist device implantation using Bi-HVAD devices and those who underwent TAH placement for biventricular HF. Twelve studies including 512 patients in the TAH group versus 38 patients in the Bi-HVAD group were pooled for meta-analysis. Read More

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http://dx.doi.org/10.21037/acs.2020.03.07DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7160621PMC

Staged Interventional and Surgical Treatment of Patient with Chronic Pancreatitis Complicated by Pancreaticopleural Fistula with Lung Abscesses.

Am J Case Rep 2020 Apr 20;21:e922195. Epub 2020 Apr 20.

Fourth Department of Surgery, Saint Petersburg City Hospital #15, Saint Petersburg, Russian Federation.

BACKGROUND Pancreaticopleural fistula is a rare complication of chronic pancreatitis. Its formation is associated with local disruption of the pancreatic duct or pseudocyst communicating with the ductal system. Rarely, other intrathoracic complications may develop such as mediastinitis, pericarditis, hemothorax, and pleural empyema. Read More

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http://dx.doi.org/10.12659/AJCR.922195DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7193244PMC

Cardiac sarcoma attached to pacemaker lead.

J Card Surg 2020 May 15;35(5):1148-1151. Epub 2020 Apr 15.

Department of Anaesthesia, National University Hospital, Singapore, Singapore.

Background And Aim: Cardiac sarcoma is a rare condition and may mimic atrial myxoma. We present a case report of a man with a cardiac sarcoma.

Method: Case report presentation. Read More

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http://dx.doi.org/10.1111/jocs.14541DOI Listing

False vocal cord perforation with abscess treated by negative pressure wound therapy.

SAGE Open Med Case Rep 2020 2;8:2050313X20915415. Epub 2020 Apr 2.

Department of Otolaryngology-Head & Neck Surgery, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, Okayama, Japan.

Perforation of the larynx is very rare but may result in severe airway complications that include pneumothorax, pneumonia, mediastinitis, and retropharyngeal abscess. If conservative treatment fails, aggressive treatments including reconstructive surgery with pedicle flap are considered. Negative pressure wound therapy has been used for large skin defects, necrotizing fasciitis, pharyngocutaneous fistula, stoma dehiscence, osteoradionecrosis of the mandible, chyle fistula, flap failure, and lymphangioma in the field of head and neck surgery. Read More

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http://dx.doi.org/10.1177/2050313X20915415DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7139174PMC

An antibiotic loaded ceramic sternum to treat destroyed infected sternum: 4 cases.

J Thorac Dis 2020 Mar;12(3):209-216

Thoracic and Cardiovascular Surgery Department, Limoges Teaching Hospital, Limoges, France.

Background: After its destruction during refractory deep sternal wound infection (DSWI), current sternum reconstructions mainly rely on muscle flaps technique, but such technique have pitfalls and limits. To tackle the limited possibilities to use device implantation because of the risk of infection, we developed a self-protected device allowing its implantation in an infected area.

Methods: We used gentamicin alone or in combination with vancomycin loaded in a porous ceramic sternum to replace sternums destroyed during DSWI. Read More

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http://dx.doi.org/10.21037/jtd.2020.01.70DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7138964PMC

Infra-Abdominal Muscles Activation Brings Benefits to the Pulmonary Function of Patients with Sternal Instability after Cardiac Surgery.

Braz J Cardiovasc Surg 2020 02 1;35(1):41-49. Epub 2020 Feb 1.

Universidade de São Paulo Faculdade de Medicina Hospital das Clínicas São Paulo SP Brazil Department of Physiotherapy of the Instituto do Coração do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (InCor/HC-FMUSP), São Paulo, SP, Brazil.

Objective: To compare physical therapy strategies involving abdominal muscle stabilization, with and without upper limb movement, in patients with sternal instability after heart surgery and during in-hospital care.

Methods: This prospective, longitudinal, randomized, and comparative clinical study included 20 patients, which were divided into two groups: ARM, the arm group (n=10), and LEG, the leg group (n=10). The study involved the evaluation of scores of visual analog scales for sternal instability, pain, discomfort, functional impairment, lung function, and maximum inspiratory pressure (MIP) and maximum expiratory pressure (MEP) before and after the interventions. Read More

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http://dx.doi.org/10.21470/1678-9741-2018-0365DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7089742PMC
February 2020

Oesophagobronchial perforations after placement of an oesophageal self-expanding metallic stent.

Respirol Case Rep 2020 May 7;8(4):e00554. Epub 2020 Apr 7.

Department of Respiratory Medicine Takarazuka Municipal Hospital Takarazuka Japan.

An oesophageal fully covered self-expanding metallic stent (SEMS) was placed in a 54-year-old Japanese man to relieve dysphagia owing to a stage cT1bN3M1c lung adenocarcinoma. High expression of programmed cell death-ligand 1 was microscopically confirmed, and pembrolizumab was subsequently administered. Several days later, the patient was hospitalized with septic shock, and severe mediastinitis and pneumonia caused by oesophageal SEMS-induced oesophageal and bronchial perforations were observed. Read More

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http://dx.doi.org/10.1002/rcr2.554DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7136952PMC

Mimickers of chronic thromboembolic pulmonary hypertension on imaging tests: a review.

Pulm Circ 2020 Jan-Mar;10(1):2045894019882620. Epub 2020 Mar 26.

Respiratory Institute, Cleveland Clinic, Cleveland, OH, USA.

Chronic thromboembolic pulmonary hypertension (CTEPH) is caused by mechanical obstruction of large pulmonary arteries secondary to one or more episodes of pulmonary embolism. Ventilation perfusion scan is the recommended initial screening test for this condition and typically shows multiple large mismatched perfusion defects. However, not all patients with an abnormal ventilation perfusion scan have CTEPH since there are other conditions that be associated with a positive ventilation perfusion scan. Read More

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http://dx.doi.org/10.1177/2045894019882620DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7103595PMC

Superior vena cava stenting in IgG4-associated mediastinal fibrosis.

Ann Saudi Med 2020 Mar-Apr;40(2):155-158. Epub 2020 Apr 2.

From the Department of Radiology, Johns Hopkins, Aramco Medical City, Saudi Arabia.

We report a rare case of IgG4-associated mediastinal fibrosis with complete superior vena cava (SVC) obstruction successfully managed by thrombolysis and stenting in a 33-year-old male. The patient presented with a mediastinal mass lesion with clinical findings of SVC obstruction. Surgical biopsy of the mediastinal mass lesion with histology and immunohistochemistry staining established the diagnosis of IgG4 associated mediastinal fibrosis. Read More

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http://dx.doi.org/10.5144/0256-4947.2020.155DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7118228PMC

Spontaneous Aortoesophageal Fistula And Ruptured Aortic Aneurysm - A Case Report On Combined Aortic And Esophageal Prosrhesis Palliative Treatment.

Rev Port Cir Cardiotorac Vasc 2020 Jan-Mar;27(1):39-42

Serviço de Imagiologia do Centro Hospitalar de Vila Nova de Gaia / Espinho, Portugal.

Aortoesophageal fistulas are uncommon, dreadful vascular events, most frequently found in the setting of thoracic aorta aneurysms. Patients usually present with thoracic pain, dysphagia and sentinel hematemesis - the Chiari triad - followed by life threatening hematemesis. Emergent open surgery with debridement of necrotic tissue and in situ aortic graft repair is currently the best strategy. Read More

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December 2019

Deep Sternal Wound Infection (DSWI) and Mediastinitis After Cardiac Surgery: Current Approaches and Future Trends in Prevention and Management.

Surg Technol Int 2020 May;36:212-216

Università Campus Bio-Medico di Roma, Rome, Italy.

Median sternotomy is the most common access for cardiac surgery. Deep surgical wound infection (DSWI) and mediastinitis after median sternotomy remain significant clinical problems after cardiac surgery in terms of mortality, morbidity and healthcare-associated costs. Despite recent advances in medical management and consensus papers, their incidence ranges from 1% to 5%, and the associated mortality ranges from 20% to 50%. Read More

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Isolated surgical tricuspid repair versus replacement: meta-analysis of 15 069 patients.

Open Heart 2020 17;7(1):e001227. Epub 2020 Mar 17.

Section of Cardiovascular Imaging, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio, USA.

Objectives: Tricuspid valve disease is increasingly encountered, but surgery is rarely performed in isolation, in part because of a reported higher operative risk than other single-valve operations. Although guidelines recommend valve repair, there is sparse literature for the optimal surgical approach in isolated tricuspid valve disease. We performed a meta-analysis examining outcomes of isolated tricuspid valve repair versus replacement. Read More

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http://dx.doi.org/10.1136/openhrt-2019-001227DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7078937PMC

Fibrosing mediastinitis mimicking as chronic pulmonary thromboembolism.

BJR Case Rep 2020 Mar 12;6(1):20190049. Epub 2020 Feb 12.

Department of Radiology, Aster CMI Hospital, Bangalore, India.

Fibrosing mediastinitis is an uncommon, benign, progressive disorder caused by proliferation of fibrous tissue within mediastinum resulting in encasement of vital mediastinal broncho-vascular structures. Due to its rarity and variable clinical presentation, it is often misdiagnosed. We are presenting a case of fibrosing mediastinitis in an Ethiopian origin young male presenting with pulmonary hypertension due to simultaneous occlusion of pulmonary vein and arteries, clinically misdiagnosed as chronic pulmonary thromboembolism. Read More

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http://dx.doi.org/10.1259/bjrcr.20190049DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7068094PMC

Necrotizing fasciitis of the entire head and neck: Literature review and case report.

Biomed J 2020 Feb 27;43(1):94-98. Epub 2020 Feb 27.

Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taoyuan, Taiwan. Electronic address:

Necrotizing fasciitis (NF) is uncommon but potentially lethal when it is associated with systemic disorders. We report a case of odontogenic NF in a patient with uncontrolled diabetes mellitus. The patient was referred on day 10 since the onset of odontogenic NF. Read More

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http://dx.doi.org/10.1016/j.bj.2019.08.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7090320PMC
February 2020

A multidisciplinary approach to the management of descending necrotizing mediastinitis - case series.

Neuro Endocrinol Lett 2019 Dec;40(6):284-288

Department of Anaesthesiology and Intensive Care, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, University Hospital in Martin, Slovakia.

Objectives: Descending necrotizing mediastinitis (DNM) is a severe potentially fatal disease of the mediastinum which spreads downwards from oropharyngeal region. Mortality varies from 11 to 40%. There is agreement on the importance of early diagnosis, aggressive surgical treatment and the need for a multidisciplinary approach. Read More

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December 2019

Is nasogastric tube feeding necessary after hypopharyngeal diverticulum surgery?

Am J Otolaryngol 2020 Mar 10:102453. Epub 2020 Mar 10.

Department of Otolaryngology-Head and Neck Surgery, University of California, Irvine, USA. Electronic address:

Objectives: Nasogastric tubes (NGT) are often placed after surgery for cricopharyngeal muscle pathology due to risk of infection and mediastinitis. The aim of this study was to examine if this practice is necessary.

Methods: A retrospective case series of subjects who underwent surgery for hypopharyngeal diverticula or cricopharyngeal bars from March 2011 to June 2018 was conducted. Read More

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http://dx.doi.org/10.1016/j.amjoto.2020.102453DOI Listing

[Neck phlegmon with an odontogenic cause].

Ned Tijdschr Geneeskd 2020 Jan 16;164. Epub 2020 Jan 16.

Zorggroep Treant, locatie Scheper Ziekenhuis Emmen, afd. Mondziekten, Kaak- en Aangezichtschirurgie, Emmen.

Background: When an odontogenic infection extends into the neck, a life-threatening situation may develop as a result from airway obstruction, sepsis or mediastinitis. However, this is quite rare. Prompt treatment is important to minimise these complications. Read More

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January 2020

Multiple arterial coronary artery bypass grafting : perioperative complications, clinical and angiographic evolution.

Tunis Med 2019 Nov;97(11):1258-1267

Background: Multiple arterial coronary artery bypass grafting is a controversial surgical procedure that is still uncommon worldwide. The aim of our study was to determine the outcomes and perioperative complications of the multiple arterial myocardial revascularization and their predictive factors, the mid-term and long term clinical and angiographic prognosis of the studied patients.

Methods: This was a single center study of the cardiovascular department of The Rabta hospital. Read More

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November 2019

Impact of microbial findings on plastic reconstructive surgery outcomes in patients with deep sternal wound infection after cardiac surgery.

J Plast Surg Hand Surg 2020 Mar 12:1-5. Epub 2020 Mar 12.

Department for Plastic, Hand and Reconstructive Surgery, Hand Trauma Center (FESSH), BG Trauma Center Frankfurt am Main, Academic Hospital of the Goethe University Frankfurt am Main, Frankfurt, Germany.

Deep sternal wound infection (DSWI) is a life threatening complication after cardiac surgery. In severe cases, flaps are needed to cover the wound. However, it is controversial if an aseptic environment is necessary at the time of wound closure. Read More

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http://dx.doi.org/10.1080/2000656X.2020.1738240DOI Listing

Characterization of Postoperative Infection Risk in Cardiac Surgery Patients With Delayed Sternal Closure.

J Cardiothorac Vasc Anesth 2020 May 13;34(5):1238-1243. Epub 2020 Jan 13.

Department of Pharmacy, University of Maryland Medical Center, Baltimore, MD.

Objectives: To compare the incidence of postoperative infection in cardiac surgery patients who had delayed sternal closure (DSC) with those who had primary sternal closure (PSC) and evaluate the effectiveness of antibiotic prophylaxis in DSC patients.

Design: Retrospective, observational cohort study with propensity score matching.

Setting: Single academic medical center. Read More

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http://dx.doi.org/10.1053/j.jvca.2020.01.010DOI Listing

Mediastinitis due to highly resistant bacteria treated with the help of locally delivered antibiotics to optimize local antibiotic concentrations.

Clin Microbiol Infect 2020 Feb 28. Epub 2020 Feb 28.

Pharmacology-Toxicology and Pharmacovigilance Department, CHU Limoges, Limoges, France.

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http://dx.doi.org/10.1016/j.cmi.2020.02.025DOI Listing
February 2020

Staging of Surgical Procedures in Comorbid Congenital Tracheal Stenosis and Congenital Cardiovascular Disease.

Ann Thorac Surg 2020 Jun 29;109(6):1889-1896. Epub 2020 Feb 29.

Department of Cardiothoracic Surgery, Great Ormond Street Hospital, London, United Kingdom.

Background: Comorbid long segment congenital tracheal stenosis and congenital cardiovascular abnormalities in children pose significant challenges with regard to repairing these abnormalities simultaneously or in stages. The aim of this study was to explore whether this combination of abnormalities needs a staged approach for surgical repairs.

Methods: All children who underwent both tracheal and cardiac surgical procedures at a tertiary hospital from 1995 to 2018 were analyzed retrospectively for mortality, ventilation days, postoperative intensive care unit days, mediastinitis, and unplanned reoperation by dividing them into simultaneous repairs (group 1), staged repairs within the same admission (group 2), and staged repairs during different admissions (group 3). Read More

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http://dx.doi.org/10.1016/j.athoracsur.2020.01.034DOI Listing

Management of Nonmalignant Tracheo- and Bronchoesophageal Fistula after Esophagectomy.

Thorac Cardiovasc Surg 2020 Mar 1. Epub 2020 Mar 1.

Department of General, Visceral and Transplant Surgery, University Hospital of Muenster, Münster, Germany.

Background:  Tracheo- or bronchoesophageal fistula (TBF) occurring after esophagectomy represent a rare but devastating complication. Management remains challenging and controversial. Therefore, the purpose of this study was to evaluate the outcome of different treatment approaches and to propose recommendations for the management of TBF. Read More

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http://dx.doi.org/10.1055/s-0039-1700970DOI Listing

Descending Necrotizing Mediastinitis Resulting from Pharyngitis with Perforation of the Aryepiglottic Fold.

Case Rep Emerg Med 2020 13;2020:4963493. Epub 2020 Feb 13.

Department of Emergency Medicine, University of Washington, Seattle, WA, USA.

Descending necrotizing mediastinitis and pharyngeal perforation are uncommon complications of pharyngitis that are associated with high morbidity and mortality. This case report describes a previously healthy 18-year-old male who presented to the emergency room with 5 days of severe sore throat, intermittent fevers, and vomiting and was found to have extensive posterior pharyngeal and mediastinal air along with extravasation of contrast on computed tomography, consistent with perforation of the left aryepiglottic fold as well as descending necrotizing mediastinitis. The patient had a complicated hospital course including multiple operative interventions, abscess formation, and development of pericardial and pleural effusions. Read More

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http://dx.doi.org/10.1155/2020/4963493DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7040390PMC
February 2020

Ultrasound evaluation of complications after cardiovascular surgery in pediatric patients: A case series.

Med Ultrason 2020 03;22(1):108-113

Department of Radiology, Keio University School of Medicine, Tokyo, Japan.

In contrast to computed tomography, ultrasound can be performed without radiation exposure, repeatedly performed by the patients' bedside. Hence, in this case series, we describe the evaluation of complications including hematoma, superficialsurgical site infection, mediastinitis, and pseudoaneurysm associated mediastinitis using ultrasound in pediatric patients after cardiovascular surgery. To our knowledge, no previous reports have evaluated such complications using ultrasound. Read More

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http://dx.doi.org/10.11152/mu-1982DOI Listing

Assessment of Prognosis in Odontogenic Descending Necrotizing Mediastinitis: A Longitudinal Retrospective Study.

Surg Infect (Larchmt) 2020 Feb 25. Epub 2020 Feb 25.

Department of Microbiology, Animal Health Research Institute, Sohag Branch, Sohag, Egypt.

Descending necrotizing mediastinitis [DNM] is a serious complication of odontogenic infections, being associated with a high mortality rate. The diagnosis, classification, and management depend on computed tomography [CT] findings. Incision, drainage, and debridement represent the principal management. Read More

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http://dx.doi.org/10.1089/sur.2019.302DOI Listing
February 2020

Rib Cage Stabilisation With 3D-Printed Polyethylene Sternal Prosthesis Post-Sternotomy Mediastinitis.

Heart Lung Circ 2020 Feb 13. Epub 2020 Feb 13.

Waikato District Health Board, Waikato Hospital Cardiothoracic Department, Hamilton, New Zealand.

Background: Post-sternotomy mediastinitis (PSM) is a serious complication of median sternotomy. It is associated with a high mortality rate. Evidence based management recommends debridement followed by closure with vascularised flaps. Read More

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http://dx.doi.org/10.1016/j.hlc.2020.01.005DOI Listing
February 2020

Clinical significance of the prognostic nutritional index in patients undergoing cardiovascular surgery.

Gen Thorac Cardiovasc Surg 2020 Feb 22. Epub 2020 Feb 22.

Second Department of Surgery, Faculty of Medicine, Yamagata University, 2-2-2 Iida-Nishi, Yamagata, 990-9585, Japan.

Objective: The prognostic nutrition index is an immunonutritional indicator and postoperative predictor of oncological surgery. However, its prognostic value in cardiovascular disease is unknown. This study assessed the value of the prognostic nutrition index in cardiovascular surgery. Read More

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http://dx.doi.org/10.1007/s11748-020-01300-xDOI Listing
February 2020

Esophageal self-expandable metal stent placement for the palliation of dysphagia due to lung cancer.

Turk Gogus Kalp Damar Cerrahisi Derg 2019 Jan 1;27(1):88-92. Epub 2019 Jan 1.

Department of Thoracic Surgery, Medicine Faculty of Trakya University, Edirne, Turkey.

Background: This study aims to report our experience with esophageal self-expendable metal stents for the palliation of malignant dysphagia and tracheoesophageal fistulas caused by lung cancer.

Methods: Esophageal self-expandable metal stents were deployed in 56 patients (55 males, 1 female; mean age 63.5 years; range, 42 to 79 years) with malignant dysphagia due to lung cancer between August 2002 and May 2018. Read More

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http://dx.doi.org/10.5606/tgkdc.dergisi.2019.16755DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7021379PMC
January 2019

Descending necrotizing mediastinitis caused by Streptococcus constellatus in an immunocompetent patient: case report and review of the literature.

BMC Pulm Med 2020 Feb 17;20(1):43. Epub 2020 Feb 17.

Department of Respiratory Medicine, Zhejiang Province Hospital of Traditional Chinese Medical, Hangzhou, China.

Descending necrotizing mediastinitis is a severe infection of the mediastinum. This syndrome manifests as fever and chest pain following cough and sputum production. A 49-year-old woman presented with fever and a 14-day history of pneumonia. Read More

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http://dx.doi.org/10.1186/s12890-020-1068-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7027095PMC
February 2020
2.489 Impact Factor

Systematic analysis of button batteries', euro coins', and disk magnets' radiographic characteristics and the implications for the differential diagnosis of round radiopaque foreign bodies in the esophagus.

Int J Pediatr Otorhinolaryngol 2020 Jan 30;132:109917. Epub 2020 Jan 30.

Department of Oto-Rhino-Laryngology, Plastic, Aesthetic and Reconstructive Head and Neck Surgery, University Hospital Wuerzburg, Josef-Schneider-Str. 11, Wuerzburg, D-97080, Germany. Electronic address:

Objectives: Button battery (BB) ingestion can cause life-threatening complications such as esophageal perforation, and mediastinitis. Chest radiography is the method of choice to diagnose BB ingestion. Therefore, an adequate interpretation of X-ray imaging by physicians is mandatory. Read More

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http://dx.doi.org/10.1016/j.ijporl.2020.109917DOI Listing
January 2020

Prognostic Factors for Iatrogenic Tracheal Rupture: A Single-Center Retrospective Cohort Study.

J Clin Med 2020 Feb 1;9(2). Epub 2020 Feb 1.

Department of Anesthesiology and Intensive Care Medicine, University Hospital Leipzig, 04103 Leipzig, Germany.

Iatrogenic tracheal ruptures are rare but severe complications of medical interventions. The main goal of this study was to explore prognostic factors for all-cause mortality and rupture-related (adjusted) mortality. We retrospectively analyzed patients admitted to an academic referral center over a 15-year period (2004-2018). Read More

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http://dx.doi.org/10.3390/jcm9020382DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7074133PMC
February 2020