4,773 results match your criteria Mediastinitis


Severe mediastinitis over a month after endobronchial ultrasound-guided transbronchial needle aspiration.

Respirol Case Rep 2019 Jul 9;7(5):e00426. Epub 2019 Apr 9.

Department of Respiratory Medicine Juntendo University Graduate School of Medicine Tokyo Japan.

Although endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) has been reported to be a minimally invasive and relatively safe procedure, mediastinitis is a serious complication related to the procedure. The median time of mediastinitis onset is approximately 12 days after EBUS-TBNA. Here we report two rare cases with mediastinitis onset 40 and 53 days after EBUS-TBNA. Read More

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http://dx.doi.org/10.1002/rcr2.426DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6454807PMC

Concordance between superficial swab and deep sampling in post-sternotomy mediastinitis: Single center experience.

J Infect Chemother 2019 Apr 17. Epub 2019 Apr 17.

Department of Microbiology, Cliniques Universitaires St Luc, Université Catholique de Louvain, 10 Avenue Hippocrate 1200, Brussels, Belgium.

Objectives: Deep sampling (DS) is the gold standard for microbiological diagnosis of post-sternotomy mediastinitis (PSM), however superficial swab (SS) are frequently performed in some centers and antibiotherapy initiated base on their results. We analysed the concordance between superficial swab and deep sampling in PSM.

Materials And Methods: We analysed retrospectively patients with a PSM between 2010 and 2014 at Saint-Luc University hospital (Belgium). Read More

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http://dx.doi.org/10.1016/j.jiac.2019.03.002DOI Listing

Female Gender is not a Risk Factor for Early Mortality after Coronary Artery Bypass Grafting.

Ann Card Anaesth 2019 Apr-Jun;22(2):187-193

Divisions of Cardio-Thoracic Surgery, Amrita Institute of Medical Sciences and Research Center, Amrita Viswa Vidyapeetham (Amrita University), Kochi, Kerala, India.

Background: The female gender is considered as a risk factor for morbidity and mortality after coronary artery bypass grafting (CABG).

Aim: In this analysis, we assessed the impact of female gender on early outcome after CABG.

Study Design: This is a retrospective analysis of data from our center situated in South India. Read More

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http://www.annals.in/text.asp?2019/22/2/187/255650
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http://dx.doi.org/10.4103/aca.ACA_27_18DOI Listing
April 2019
8 Reads

Esophageal bypass surgery as a definitive repair of recurrent acquired benign bronchoesophageal fistula.

J Cardiothorac Surg 2019 Apr 11;14(1):73. Epub 2019 Apr 11.

Third Department of Surgery, First Faculty of Medicine, Charles University Prague and University Hospital Motol, Prague, Czech Republic.

Background: Acquired benign bronchoesophageal fistula (BEF) is rare and develops as a complication of other diseases, mostly of inflammatory processes and traumas of the chest. The treatment of choice is a surgical repair, which is considered definitive and leads to successful outcomes. However, incidence of recurrence after the primary repair based on limited data is up to 10% and its treatment is challenging. Read More

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http://dx.doi.org/10.1186/s13019-019-0902-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6458707PMC

Atypical Presentation of Aspergillus Mediastinitis Infection in a Heart Transplant Patient: the Importance of Combined Medical and Surgical Treatment.

Exp Clin Transplant 2019 Apr 9. Epub 2019 Apr 9.

From the Department of Cardiology, Institut Universitaire de Cardiologie et de Pneumologie de Québec, Laval University, Quebec, Canada.

Aspergillus fumigatus is an opportunistic fungus that mainly affects immunocompromised patients. Due to significant immunosuppressive therapy, patients who undergo orthotopic heart transplant have an increased risk of infection. Aspergillosis is the most common fungal infection in orthotopic heart transplant recipients (70%) and usually presents as invasive aspergillosis, which has a rapidly progressive course and is highly fatal. Read More

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http://dx.doi.org/10.6002/ect.2018.0185DOI Listing
April 2019
1 Read

Multimodality Imaging of Focal and Diffuse Fibrosing Mediastinitis.

Radiographics 2019 Apr 5:180143. Epub 2019 Apr 5.

From the Department of Radiology, Saint Luke's Hospital of Kansas City, University of Missouri in Kansas City, 4401 Wornall Rd, Kansas City, MO 64111 (S.H.G., J.R.B., M.L.R.d.C., S.M.J., J.J.B.); and Ameripath, Kansas City, Mo (P.M.).

Fibrosing mediastinitis is a rare benign but potentially life-threatening process that occurs because of proliferation of fibrotic tissue in the mediastinum. The focal subtype is more common and typically is associated with an abnormal immunologic response to Histoplasma capsulatum infection. Affected patients are typically young at presentation, but a wide age range has been reported, without a predilection for either sex. Read More

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http://dx.doi.org/10.1148/rg.2019180143DOI Listing

[Diagnosis and treatment of suppurative mediastinitis - a special chapter in the history of surgery (in Russian only)].

Authors:
M M Abakumov

Khirurgiia (Mosk) 2019 (3):105-110

Sklifosovsky Research Institute for Emergency Care, Moscow, Russia.

It was reviewed a history of diagnosis and treatment of suppurative mediastinitis from ancient times to our time depending on inflammation type, localization and clinical features. An important role of national surgical school in the development of surgical treatment was emphasized. Read More

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http://www.mediasphera.ru/issues/khirurgiya-zhurnal-im-n-i-p
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http://dx.doi.org/10.17116/hirurgia2019031105DOI Listing
January 2019
3 Reads

Clinical experience with dalbavancin for the treatment of deep sternal wound infection.

J Glob Antimicrob Resist 2019 Mar 26. Epub 2019 Mar 26.

Infectious Diseases Unit, Department of Medical and Surgical Sciences, Sant'Orsola-Malpighi Hospital, University of Bologna, Via Massarenti 9, Bologna, 40138.

Introduction: Deep sternal wound infection (DSWI) is a complication of major heart surgery with high morbidity and prolonged antimicrobial treatment and length of hospital stay. Dalbavancin is a new lipoglycopeptide active on Gram-positive microorganisms, including methicillin-susceptible Staphylococcus aureus (MRSA), with a long half-life. In this small case series, we assessed the feasibility of dalbavancin for the treatment of DSWI. Read More

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http://dx.doi.org/10.1016/j.jgar.2019.03.015DOI Listing
March 2019
1 Read

Clinical-care protocol for preventing mediastinitis after coronary artery bypass graft surgery: A quality improvement initiative from a private hospital.

J Card Surg 2019 Mar 29. Epub 2019 Mar 29.

Department of Clinical Research, Hospital TotalCor, São Paulo, Brazil.

Background: Surgical site infections after cardiac surgery are associated with severe outcomes, including reoperation and death. We aimed to describe the effect of a standardized clinical-care protocol for preventing mediastinitis in patients who underwent coronary artery bypass graft surgery (CABG).

Methods: In a hospital certified by Joint Commission International, all patients who underwent CABG from January 2011 to December 2016 were compared in two periods according to the moment of implementation of a standardized clinical-care protocol for prevention of mediastinitis (CCPPM): pre-protocol (January 2011-December 2012) and post-protocol (January 2013-December 2016). Read More

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http://dx.doi.org/10.1111/jocs.14033DOI Listing

Chronic granulomatous pneumonia and lung rupture secondary to aspiration of activated charcoal in a French Bulldog.

Vet Clin Pathol 2019 Mar;48(1):67-70

Department of Pathology, University of Georgia, Athens, Georgia.

A 4-year-old, spayed female French Bulldog was presented for respiratory distress and suspected aspiration pneumonia after oral administration of activated charcoal for possible ingestion of a suspected toxic dose of trazodone. The patient had a moderate volume of pleural effusion, which contained free and intracellular black particulate matter consistent with charcoal. Due to presumed charcoal aspiration with subsequent lung rupture, the right middle and right caudal lung lobes were surgically removed. Read More

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http://dx.doi.org/10.1111/vcp.12700DOI Listing
March 2019
1 Read

Life-threating complication of parapharyngeal abscess and mediastinitis in a 10-year-old otherwise healthy girl following elective tonsillectomy - first reported paediatric case.

J Laryngol Otol 2019 Feb;133(2):161-163

Department of Oto-rhino-laryngology - Head and Neck Surgery,Copenhagen University Hospital,Denmark.

Background: Parapharyngeal abscess and mediastinitis are rare but very severe post-operative complications following an elective tonsillectomy. Parapharyngeal abscess as a complication to tonsilectomy is very seldom described in the literature and no cases in the paediatric population have been described.Case reportThis paper presents, to our knowledge, the first case of life-threatening parapharyngeal abscess and mediastinitis following elective adenotonsillectomy in an otherwise healthy, fully vaccinated 10-year-old girl. Read More

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http://dx.doi.org/10.1017/S0022215119000021DOI Listing
February 2019
1 Read

The Impact of Preoperative Negative-Pressure Wound Therapy on Pectoralis Major Muscle Flap Reconstruction for Deep Sternal Wound Infections.

Ann Plast Surg 2019 Mar 13. Epub 2019 Mar 13.

University of Milan, Reconstructive and Aesthetic Plastic Surgery School, Department of Medical Biotechnology and Translational Medicine BIOMETRA-Plastic Surgery Unit, Humanitas Research Hospital, Rozzano, Milan, Italy.

Background: Deep sternal wound infection (DSWI) represents a life-threatening complication following open-heart surgery and pectoralis major muscle flap reconstruction has led to a significant reduction in mortality and morbidity. Negative-pressure wound therapy represented a step forward in DSWI treatment, both as a single procedure or as a preparation for reconstructive surgery.In the present study, we report our 13 years' experience with sternal reconstruction in order to evaluate the impact of preoperative vacuum-assisted closure (VAC) therapy on reconstructive outcome. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001799DOI Listing

Vasoactive-inotropic score and the prediction of morbidity and mortality after cardiac surgery.

Br J Anaesth 2019 Apr 18;122(4):428-436. Epub 2019 Feb 18.

Department of Anaesthesiology and Intensive Care Medicine, Kuopio University Hospital, Kuopio, Finland.

Background: The vasoactive-inotropic score (VIS) predicts mortality and morbidity after paediatric cardiac surgery. Here we examined whether VIS also predicted outcome in adults after cardiac surgery, and compared predictive capability between VIS and three widely used scoring systems.

Methods: This single-centre retrospective cohort study included 3213 cardiac surgery patients. Read More

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http://dx.doi.org/10.1016/j.bja.2018.12.019DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6435836PMC
April 2019
1 Read

[Thoracoabdominal hernia after treatment of chronic sterno-mediastinitis].

Khirurgiia (Mosk) 2019(2):47-52

Chair of Surgical Diseases #2, Samara State Medical University of Healthcare Ministry of Russia, Samara, Russia, Seredavin Samara Regional Clinical Hospital, Samara, Russia.

Aim: To analyze clinical course and develop surgical technique for thoracoabdominal hernia in patients after previous sterno-mediastinitis.

Material And Methods: There were 7 (20%) patients aged 53-69 years with thoracoabdominal hernia after previous cardiac surgery followed by postoperative sterno-mediastinitis. Thoracoomentoplasty was used for treatment of this complication. Read More

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http://dx.doi.org/10.17116/hirurgia201902147DOI Listing
January 2019

Variation between hospitals in outcomes following cardiac surgery in the UK.

Ann R Coll Surg Engl 2019 Mar 11:1-9. Epub 2019 Mar 11.

Department of Cardiothoracic Surgery, St. George's Hospital , London , UK.

Introduction: We examine the influence of variations in provision of cardiac surgery in the UK at hospital level on patient outcomes and also to assess whether there is an inequality of access and delivery of healthcare. Cardiothoracic surgery has pioneered the reporting of surgeon-specific outcomes, which other specialties have followed. We set out to identify factors other than the individual surgeon, which can affect outcomes and enable other surgical specialties to adopt a similar model. Read More

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http://dx.doi.org/10.1308/rcsann.2019.0029DOI Listing
March 2019
1 Read

[Early and late results of coronary artery bypass grafting in coronary artery disease in Concepcion, Chile].

Rev Med Chil 2018 Dec;146(12):1395-1404

Centro Cardiovascular, Hospital Clínico Regional de Concepción: "Dr. Guillermo Grant Benavente", Concepción, Chile.

Background: Coronary artery bypass grafting (CABG) is the best treatment for a large group of patients with coronary artery disease.

Aim: To describe early and late results of patients treated with CABG at our Center.

Patients And Methods: Revision of data bases, surgical protocols and clinical registers of patients operated between January 2006 and December 2008. Read More

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http://dx.doi.org/10.4067/s0034-98872018001201395DOI Listing
December 2018
2 Reads

TEVAR for Secondary Aortobronchial Fistulas: Two Cases with Favorable Long-term Outcomes.

Ann Vasc Surg 2019 Feb 28. Epub 2019 Feb 28.

Vascular Surgery Department, General Hospital of Thessaloniki "Georgios Papanikolaou", Exochi, Greece.

Secondary aortobronchial fistula (ABF) is an uncommon clinical entity associated with increased mortality. Most common presentation is hemoptysis, ranging from repetitive self-limiting episodes to massive hematemesis. Mediastinitis (if present) and excessive blood loss burden the unfavorable case of ABF, whereas stent-graft contamination and sepsis are the main concerns regarding endovascular therapy. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.12.103DOI Listing
February 2019
3 Reads

A case of Mycobacterium chelonae mediastinitis and acute humoral rejection after heart transplantation.

J Card Surg 2019 Apr 28;34(4):205-207. Epub 2019 Feb 28.

Department of Cardiovascular Surgery, Graduate School of Medicine, Osaka University, Suita, Japan.

Mediastinitis is one of the life-threating complications that can occur after cardiac surgery. However, to the best of our knowledge, there has been no report of mediastinitis caused by Mycobacterium chelonae, which is one of the rapidly growing nontuberculous mycobacteria species. As far as we know, our case is the first case describing the curative management for mediastinitis caused by M. Read More

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http://dx.doi.org/10.1111/jocs.13997DOI Listing
April 2019
1 Read

Postoperative noninvasive ventilation and complications in esophageal atresia-tracheoesophageal fistula.

J Pediatr Surg 2019 Jan 31. Epub 2019 Jan 31.

Pediatric Surgery, Centre Hospitalier Universitaire, Sainte-Justine, Canada; Esophageal Atresia Clinic, Department of Pediatric Gastroenterology, Centre Hospitalier Universitaire, Sainte Justine, Canada. Electronic address:

Purpose: This study examines the impact of postoperative noninvasive ventilation strategies on outcomes in esophageal atresia-tracheoesophageal fistula (EA-TEF) patients.

Methods: A single center retrospective chart review was conducted on all neonates followed at the EA-TEF Clinic from 2005 to 2017. Primary outcomes were: survival, anastomotic leak, stricture, pneumothorax, and mediastinitis. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.01.023DOI Listing
January 2019
3 Reads

Sclerosing Mediastinitis Causing Unilateral Pulmonary Edema Due to Left Atrial and Pulmonary Venous Compression. A Case Report and Literature Review.

Braz J Cardiovasc Surg 2019 Jan-Feb;34(1):85-92

Department of Cardiothoracic Surgery, University Hospital of Patras, Patras, Greece.

Sclerosing mediastinitis (SM), previously named chronic fibrosing mediastinitis, is an inflammatory process that in its end-stage results to sclerosis around the mediastinal structures. SM is quite rare and has been correlated with inflammatory and autoimmune diseases, as well as malignancy. SM may either present in a mild form, with minor symptoms and a benign course or in a more aggressive form with severe pulmonary hypertension and subsequent higher morbidity and mortality. Read More

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http://dx.doi.org/10.21470/1678-9741-2018-0067DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6385839PMC
March 2019
1 Read
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Rationale and Options for Choosing an Optimal Closure Technique for Primary Midsagittal Osteochondrotomy of the Sternum. Part 3: Technical Decision Making Based on the Practice of Patient- Appropriate Medicine.

Crit Rev Biomed Eng 2019 ;47(1):59-99

Hamilton Health Sciences, Suite 515, 644 Main Street West, Hamilton, Ontario, Canada L8S 1A1.

The topographic anatomy of the sternum is similar in a healthy population. However, in a clinical subset of patients with comorbidities such as diabetes mellitus, chronic obstructive pulmonary disease, high body mass index, chronic renal disease, or age-related osteoporosis, there are significant changes in the normal physiology that may influence overall patient outcome following trans-sternal intrathoracic surgery. These changes can create technical difficulties in reconstructing the bisected sternum and adversely affect the biomechanics of the thoracic wall, forcing difficult surgical choices with regard to implant options and increasing the cost of an otherwise routine cardiac surgery. Read More

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http://dx.doi.org/10.1615/CritRevBiomedEng.2019026454DOI Listing
January 2019
2 Reads

Rationale and Options for Choosing an Optimal Closure Technique for Primary Midsagittal Osteochondrotomy of the Sternum, Part 2: A Theoretical and Critical Review of Techniques and Fixation Devices.

Crit Rev Biomed Eng 2019 ;47(1):27-57

Hamilton Health Sciences, Suite 515, 644 Main Street West, Hamilton, Ontario, Canada L8S 1A1.

The intact one-piece sternum is indispensible to the thorax for its normal physiological biomechanics. To overcome tri-planar forces acting on the sternum following midsagittal osteochondrotomy, it must be reconstructed using an optimal technique to withstand distraction loads of normal respiration and violent cough. It should be fixed rigidly to reconstitute the anterior coronal column of the axial skeleton to maintain erect posture and prevent kyphosis. Read More

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http://dx.doi.org/10.1615/CritRevBiomedEng.2019026453DOI Listing
January 2019

Aggressive and progressive fibrosing mediastinitis involving the thoracic spine mimicking malignancy: A case report.

Radiol Case Rep 2019 Apr 12;14(4):490-494. Epub 2019 Feb 12.

Department of Pathology, Kosin University Gospel Hospital, Kosin University College of Medicine, Busan, South Korea.

Fibrosing mediastinitis is an uncommon benign disorder in which a chronic inflammatory reaction results in diffuse fibrosis of the mediastinum, potentially compromising the airways, great vessels and other mediastinal structures. Herein we describe a progressive course of fibrosing mediastinitis in a 72-year-old man. Computed tomography images depicted a diffuse, infiltrative, soft tissue mass involving the esophagus and superior vena cava in the mediastinum. Read More

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http://dx.doi.org/10.1016/j.radcr.2019.02.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6374615PMC

Tracheal Stenosis Due to IgG4-Related Fibrosing Mediastinitis.

Arch Bronconeumol 2019 Feb 20. Epub 2019 Feb 20.

Servicio de Neumología, Hospital Universitario Puerta del Mar, Cádiz, España.

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http://dx.doi.org/10.1016/j.arbres.2018.12.014DOI Listing
February 2019
1 Read

Catheter based treatments for fibrosing mediastinitis.

Catheter Cardiovasc Interv 2019 Feb 21. Epub 2019 Feb 21.

Department of Cardiovascular Diseases, Mayo Clinic, Rochester, Minnesota.

Fibrosing mediastinitis is a rare, often debilitating and potentially lethal disease characterized by an exuberant fibroinflammatory response within the mediastinum. Patients typically present with insidious symptoms related to compression of adjacent structures including the esophagus, heart, airways, and cardiac vessels. Fibrosing mediastinitis is most often triggered by Histoplasmosis infection; however, antifungal and anti-inflammatory therapies are largely ineffective. Read More

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http://dx.doi.org/10.1002/ccd.28152DOI Listing
February 2019
2 Reads

Cellulose-Derived Absorbable Hemostatic Product as a Risk Factor for Mediastinitis after Cardiac Surgery.

Surg Infect (Larchmt) 2019 Feb 20. Epub 2019 Feb 20.

1 Preventive Medicine Department and Infectious Disease Unit, Puerta de Hierro Majadahonda University Hospital, Majadahonda, Madrid, Spain.

Background: We describe the management and control of an outbreak of mediastinitis in a cardiac surgery department.

Method: We performed a retrospective cohort study of 87 patients who underwent coronary artery bypass grafting (CABG), valve replacement, or both during a five-month period with a higher than normal number of cases of post-operative mediastinitis. In addition to medical records review, a survey was conducted among surgeons to estimate the frequency of cellulose-derived absorbable hemostatic (CDAH) use. Read More

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https://www.liebertpub.com/doi/10.1089/sur.2018.268
Publisher Site
http://dx.doi.org/10.1089/sur.2018.268DOI Listing
February 2019
14 Reads

The role of topical Genta Fleece HD and gentamicin spray in prevention of sternum wound infections after open heart surgery: a comparative study.

Authors:
Mazlum Sahin

Arch Med Sci Atheroscler Dis 2018 15;3:e29-e34. Epub 2018 Feb 15.

Haseki Education and Research Hospital Cardiovascular Surgery, Istanbul, Turkey.

Introduction: The aim was to clarify and compare the efficacy of local Genta Fleece HD (GF) and topical gentamicin spray (GS) in prevention of wound infections by comparing their results with a control group.

Material And Methods: In this retrospective study, charts of patients who underwent coronary artery bypass grafting in a tertiary academic center between January 2015 and January 2017 were analyzed. Patients were divided into three groups: patients in whom GF was applied, patients in whom GS was applied, and a control group in which no additional material was applied. Read More

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http://dx.doi.org/10.5114/amsad.2018.73526DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6374583PMC
February 2018
1 Read

Systemic inflammatory response after endoscopic surgery of Zenker's diverticulum.

Authors:
S Hering S Wiegand

Acta Otorhinolaryngol Ital 2019 Jan 31. Epub 2019 Jan 31.

Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Leipzig, Leipzig, Germany.

Zenker's diverticulum can be treated with a carbon dioxide laser or linear stapling device. A retrospective study on patients undergoing elective surgery for Zenker`s diverticulum with carbon dioxide laser or stapler was performed to analyse possible differences in inflammatory responses during the postoperative period. Leucocyte counts and C-reactive protein levels in peripheral blood were measured before and on days 1, 2, 3 and 5 after the operation. Read More

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http://dx.doi.org/10.14639/0392-100X-1576DOI Listing
January 2019
6 Reads

Off-pump Revascularization with Bilateral versus Single Mammary Arteries-A Propensity Score-Matched Analysis.

Thorac Cardiovasc Surg 2019 Feb 9. Epub 2019 Feb 9.

Department of Cardio-Thoracic Surgery, Heart Center NRW, Bad Oeynhausen, Germany.

Background:  Coronary artery bypass grafting is the first-line therapy for severe multivessel coronary artery disease. We aimed to investigate the clinical outcome in patients undergoing isolated off-pump surgery with the single or bilateral internal mammary artery (SIMA or BIMA) approach.

Methods:  We performed a propensity score-matched analysis in 1,852 consecutive patients, aged 50 to 70 years, who underwent myocardial revascularization at our institution between July 2009 and August 2016. Read More

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http://dx.doi.org/10.1055/s-0039-1677835DOI Listing
February 2019
1 Read

Epidemiology of infection in mechanical circulatory support: A global analysis from the ISHLT Mechanically Assisted Circulatory Support Registry.

J Heart Lung Transplant 2019 Apr 17;38(4):364-373. Epub 2019 Jan 17.

James and John Kirklin Institute for Research in Surgical Outcomes (KIRSO), University of Alabama, Birmingham, Alabama.

Background: Despite advances in device technology and treatment strategies, infection remains a major cause of adverse events (AEs) in mechanical circulatory support (MCS) patients. To characterize the epidemiology of MCS infection, we examined the type, location, and timing of infection in the International Society for Heart and Lung Transplantation Registry (ISHLT) for Mechanically Assisted Circulatory Support (IMACS) over 3 years, 2013 to 2015.

Methods: Interagency Registry for Mechanically Assisted Circulatory Support (INTERMACS) definitions were used to categorize AE infections occurring in MCS patients within IMACS. Read More

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http://dx.doi.org/10.1016/j.healun.2019.01.007DOI Listing
April 2019
2 Reads

Tracheomalacia as a Complication of Stenting for Esophageal Injury after a Transsternal Approach to High Thoracic Vertebral Metastasis.

World Neurosurg 2019 Feb 2. Epub 2019 Feb 2.

Institute of Medicine, Chung Shan Medical University, Taiwan; Department of Neurosurgery, Neurological Institute, Taichung Veterans General Hospital, Taiwan. Electronic address:

Background: and Importance: Esophageal injury is a severe surgical complication of a transsternal approach to the high thoracic vertebral metastasis, which can result in mediastinitis and life-threatening consequences. A covered stent can be placed in the esophagus to prevent mediastinal leakage. However, tracheomalacia is a very rare complication following esophageal stenting. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.01.149DOI Listing
February 2019
1 Read

Tracheal Injury Prior to Sternotomy: A Cautionary Tale.

Semin Cardiothorac Vasc Anesth 2019 Feb 1:1089253218825443. Epub 2019 Feb 1.

2 University of North Carolina at Chapel Hill, NC, USA.

Tracheal laceration during cardiac surgery is a rarely reported form of iatrogenic tracheal injury. During dissection prior to sternotomy, the interclavicular ligament must be divided. This structure overlies the proximal trachea, predisposing the trachea to injury at this location. Read More

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http://dx.doi.org/10.1177/1089253218825443DOI Listing
February 2019

Chronic thromboembolic pulmonary hypertension versus fibrosing mediastinitis.

Anatol J Cardiol 2019 Feb;21(2):E4-E5

Cardiovascular Intervention Research Center, Iran University of Medical Sciences; Tehran-Iran.

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http://dx.doi.org/10.14744/AnatolJCardiol.2018.12258DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6457413PMC
February 2019
1 Read

Fungal fibrosing mediastinitis in pregnancy - Case report with review of literature.

J Postgrad Med 2019 Jan-Mar;65(1):52-55

Department of Pathology, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India.

Fibrosing mediastinitis (FM) is characterized by extensive and invasive fibro-inflammatory proliferation, triggered by a delayed hypersensitivity reaction to variety of infective or noninfective stimuli. The infective agents often have a geographic distribution such as Histoplasma capsulatum in North America and Mycobacterium tuberculosis in Asian regions. In few reports, the mediastinitis is caused by fungi, particularly Aspergillus species. Read More

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http://www.jpgmonline.com/text.asp?2019/65/1/52/250955
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http://dx.doi.org/10.4103/jpgm.JPGM_358_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6380127PMC
January 2019
6 Reads

[A Case of Successful Drainage for Mediastinitis during Chemotherapy for Unresectable Advanced Esophageal Cancer].

Gan To Kagaku Ryoho 2018 Dec;45(13):2402-2404

Dept. of Surgery, Kansai Rosai Hospital.

A 78-year-old man complained of dysphagia. Gastrointestinal endoscopy showed a Type 2 tumor in the lower esophagus and a Type 0-Ⅱa lesion in the posterior wall of the upper gastric body. An enhanced CT scan showed several swollen abdominal and cervical lymph nodes as well as bilateral lung multiple nodules, suggesting distant metastasis. Read More

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December 2018
15 Reads

Feasibility of primary sternal plating for morbidly obese patients after cardiac surgery.

J Cardiothorac Surg 2019 Jan 28;14(1):25. Epub 2019 Jan 28.

Department of Cardiothoracic Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.

Background: Morbidly obese patients (body mass index [BMI] ≥ 35 kg/m) who undergo cardiac surgery involving median sternotomy have a higher-than-normal risk of sternal dehiscence. To explore a potential solution to this problem, we examined the utility of transverse sternal plating for primary sternal closure in morbidly obese cardiac surgical patients.

Methods: We retrospectively reviewed data from cardiac surgical patients who underwent single primary xiphoid transverse titanium plate reinforcement for primary sternal closure from August 2009 to July 2010 (n = 8), and we compared their outcomes with those of patients with BMI ≥35 kg/m who underwent cardiac surgery without sternal plate reinforcement from April 2008 to July 2009 (n = 14). Read More

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https://cardiothoracicsurgery.biomedcentral.com/articles/10.
Publisher Site
http://dx.doi.org/10.1186/s13019-019-0841-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6350305PMC
January 2019
7 Reads

Necrotizing fasciitis with mediastinitis following snakebite envenomation.

SAGE Open Med Case Rep 2019 9;7:2050313X18823090. Epub 2019 Jan 9.

Department of Surgery, Arthur Davison Children's Hospital, Ndola, Zambia.

Snakebite envenomation is a life-threatening injury and a neglected public health issue in Africa. We report the case of a child that presented 6 days following a forearm snakebite with compartment syndrome and necrotizing fasciitis of the upper limb extending to the neck and chest who developed mediastinitis. She underwent multiple surgical debridements and the mediastinitis was managed non-surgically with antibiotics and postural drainage leading to recovery. Read More

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http://journals.sagepub.com/doi/10.1177/2050313X18823090
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http://dx.doi.org/10.1177/2050313X18823090DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6329015PMC
January 2019
13 Reads

Surgical management of esophageal perforation: role of primary closure.

Asian Cardiovasc Thorac Ann 2019 Mar 21;27(3):192-198. Epub 2019 Jan 21.

Department Thoracic Surgery, Cho Ray Hospital, Ho Chi Minh City, Vietnam.

Objective: Esophageal perforation is a life-threatening condition associated with high mortality and morbidity. Ambiguous clinical presentation is one of the most common causes of delayed and difficult diagnosis of esophageal perforation. In this retrospective single-center study, we reviewed the outcome of primary closure in patients with esophageal perforation between 2009 and 2017. Read More

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http://dx.doi.org/10.1177/0218492319827439DOI Listing
March 2019
6 Reads

Predictive models of surgical site infections after coronary surgery: insights from a validation study on 7090 consecutive patients.

J Hosp Infect 2019 Jan 15. Epub 2019 Jan 15.

Cardio-Thoracic and Vascular Department, Trieste University Hospital, Trieste, Italy.

Background: The role of specific scoring systems in predicting risk of surgical site infections (SSIs) after coronary artery bypass grafting (CABG) has not been established.

Aim: To validate the most relevant predictive systems for SSIs after CABG.

Methods: Five predictive systems (eight models) for SSIs after CABG were evaluated retrospectively in 7090 consecutive patients undergoing isolated (73. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S01956701193001
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http://dx.doi.org/10.1016/j.jhin.2019.01.009DOI Listing
January 2019
11 Reads

An Unusual Case of Descending Necrotizing Mediastinitis.

Arch Bronconeumol 2019 Jan 13. Epub 2019 Jan 13.

Servicio de Radiodiagnóstico, Hospital Universitario Ramón y Cajal, Madrid, España.

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http://dx.doi.org/10.1016/j.arbres.2018.11.005DOI Listing
January 2019
2 Reads

Subcutaneous and Mediastinal Emphysema Followed by Group A Beta-Hemolytic Streptococci Mediastinitis. A Complicated Course after Adenotonsillectomy: Case Report.

Diagnostics (Basel) 2019 Jan 15;9(1). Epub 2019 Jan 15.

Department of Otorhinolaryngology and head and neck surgery, Erasmus Medical Center, Sophia Children's Hospital, 3015 GD Rotterdam, The Netherlands.

Tonsillectomy is a commonly performed surgery in the daily practice of an otorhinolaryngologist. For patients as well as health professionals, the best known complication is post-operative bleeding. Among the less noted, but potentially life-threatening, complications are the development of subcutaneous emphysema and the presence of bacteremia due to group A hemolytic streptococci. Read More

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http://dx.doi.org/10.3390/diagnostics9010011DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6468507PMC
January 2019
3 Reads

Retrospective analysis of the impact of sternum closure technique on postoperative comfort and rehabilitation.

Kardiochir Torakochirurgia Pol 2018 Dec 31;15(4):233-237. Epub 2018 Dec 31.

Department of Cardiac, Vascular and Endovascular Surgery and Transplantology in Zabrze, Medical University of Silesia in Katowice, Silesian Center for Heart Diseases, Poland.

Introduction: Sternum closure techniques have been compared regarding biomechanics, efficacy in high-risk patients and prevention of mediastinitis or sternal dehiscence. There are no papers concerning patients' comfort and postoperative rehabilitation rate.

Aim: To establish the best surgical closure technique after midline sternotomy regarding the lowest pain level in the postoperative period and the highest rate of postoperative rehabilitation. Read More

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http://dx.doi.org/10.5114/kitp.2018.80919DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6329884PMC
December 2018
2 Reads

[Failure of Endo-VAC or Stenting Therapy after Oesophageal Anastomotic Insufficiency - How to Avoid Oesophagectomy].

Zentralbl Chir 2019 Jan 15. Epub 2019 Jan 15.

Klinik für Thoraxchirurgie, Thoraxzentrum Ruhrgebiet, Evangelisches Krankenhaus Herne, Deutschland.

Introduction: Oesophageal anastomotic leak after oesophagectomy is a severe complication and associated with a high mortality rate. Initial treatment is conservative and includes stent implantation or endo-VAC therapy. This study describes a combined treatment strategy of endoscopic and surgical management after failure of conservative management. Read More

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http://dx.doi.org/10.1055/a-0806-7936DOI Listing
January 2019
3 Reads

Computed tomography improves the differentiation of infectious mediastinitis from normal postoperative changes after sternotomy in cardiac surgery.

Eur Radiol 2019 Jan 10. Epub 2019 Jan 10.

Department of Diagnostic and Interventional Radiology, University of Leipzig - Heart Center, Struempellstrasse 39, 04289, Leipzig, Germany.

Objectives: To identify CT parameters independently associated with infectious mediastinitis after cardiac surgery and to improve the discrimination of patients with acute infection from those with normal postoperative changes.

Methods: In this single-center, retrospective, observational cohort study, we evaluated thoracic CT scans of poststernotomy cardiac surgery patients. Inclusion criteria were clinically suspected mediastinitis, unclear CT signs (e. Read More

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http://dx.doi.org/10.1007/s00330-018-5946-5DOI Listing
January 2019
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Standardized Musculocutaneous Flap for the Coverage of Deep Sternal Wounds After Cardiac Surgery.

Ann Thorac Surg 2019 Mar 26;107(3):802-808. Epub 2018 Oct 26.

Department of Orthopedics, Trauma and Plastic Surgery, University Hospital Leipzig, Leipzig, Germany.

Background: Deep sternal wound infection remains a serious complication after cardiac surgery, leading to increased morbidity, mortality, and cost. The goal of our study was to develop a standardized, reproducible method to safely cover deep sternal wounds and ensure improved healing rates.

Methods: The study was developed as a retrospective cohort study. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00034975183153
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http://dx.doi.org/10.1016/j.athoracsur.2018.09.017DOI Listing
March 2019
13 Reads

Letter To The Editor.

Heart Surg Forum 2018 11 26;21(6):E484. Epub 2018 Nov 26.

Department of Cardiovascular Surgery, Atatürk University, Erzurum, Turkey.

We read the letter of F. Rudman et al [Rudman 2017] about our article entitled "Utility of Omentoplasty in Mediastinitis Treatment following Sternotomy" [Colak 2016]. We thank them for their evaluations. Read More

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http://dx.doi.org/10.1532/hsf.2009DOI Listing
November 2018
2 Reads

Nodules and masses are associated with malignant pleural effusion in dogs and cats but many other intrathoracic CT features are poor predictors of the effusion type.

Vet Radiol Ultrasound 2018 Dec 17. Epub 2018 Dec 17.

Department of Clinical Studies New Bolton Center, University of Pennsylvania School of Veterinary Medicine, Kennett Square, PA, 19348.

Thoracic CT may be used in the workup of patients with pleural effusion. In humans, certain pleural features on CT aid in diagnosing an underlying cause for pleural effusion, whereas this is not well studied in veterinary medicine. This retrospective cross-sectional analytical study assessed pleural and other intrathoracic abnormalities on CT in dogs and cats with pleural effusion and explored potential discriminatory features between effusion types. Read More

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http://doi.wiley.com/10.1111/vru.12706
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http://dx.doi.org/10.1111/vru.12706DOI Listing
December 2018
6 Reads

[Mediastinitis after endobronchial ultrasound-guided transbronchial needle aspiration: Should we modify our practices?]

Rev Mal Respir 2018 12 7;35(10):1063-1064. Epub 2018 Jul 7.

Service de pneumologie, hôpital Tenon, AP-HP, 75020 Paris, France.

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http://dx.doi.org/10.1016/j.rmr.2018.06.002DOI Listing
December 2018
1 Read