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2014, Cilt 5, Sayı 3, Sayfa(lar) 243-245
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Successful Management of Mediastinitis After Bentall Procedure
Cem Arıtürk1, Mehmet Hakan Akay2, Şahin Şenay3, Ahmet Ümit Güllü3, Hasan Karabulut3, Hüseyin Cem Alhan3
1Acıbadem Healthcare Group, Kadikoy Hospital, Cardiovascular Surgery, İstanbul, Türkiye
2Acıbadem Healthcare Group, Maslak Hospital, Cardiovascular Surgery, İstanbul, Türkiye
3Acibadem University, School of Medicine, Cardiovascular Surgery, İstanbul, Türkiye
Keywords: mediastinitis, bentall procedure, omental transposition
Abstract
Purulent mediastinitis with an ascending aortic composite valve conduit is a serious dilemma for surgeons who must choose between changing or saving the prosthetic graft. Here, we treated a mediastinitis case without explanting and replacing the ascending aortic prosthetic valve conduit and instead saved the conduit with aggressive debridement, irrigation and omental transposition. The patient was discharged at postoperative 42nd day, control examination revealed no active infection or mechanical complications at 3 month.
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