Article: article from journal or magazin.
Case report (case report): feedback on an observation with a short commentary.
Right ventricular rupture due to recurrent mediastinal infection with a closed chest.
Interactive Cardiovascular and Thoracic Surgery
Publication types: Case Reports ; Journal Article ; ReviewPublication Status: ppublish
Right ventricular (RV) rupture in cases of mediastinitis following cardiac surgery is a rare and dangerous complication. Bleeding from the right ventricle occurs mainly after sternal reopening, due to either iatrogenic manipulation (wire removal, lesions due to wiring maneuvers) or mechanical shearing forces, producing direct injury. We present a case of RV wall perforation due to infection in a recurrent postoperative mediastinitis with a closed chest. The current literature on treatment of postoperative mediastinitis is also reviewed.
Aged, 80 and over, Anti-Bacterial Agents/therapeutic use, Coronary Artery Bypass/adverse effects, Drainage, Heart Rupture/microbiology, Heart Rupture/radiography, Heart Ventricles/microbiology, Hemorrhage/microbiology, Hemorrhage/radiography, Hemostatic Techniques, Humans, Male, Mediastinitis/microbiology, Mediastinitis/radiography, Negative-Pressure Wound Therapy, Recurrence, Reoperation, Staphylococcal Infections/microbiology, Staphylococcal Infections/radiography, Staphylococcus epidermidis/isolation & purification, Sternotomy/adverse effects, Surgical Wound Dehiscence/microbiology, Surgical Wound Infection/microbiology, Surgical Wound Infection/radiography, Suture Techniques, Tomography, X-Ray Computed, Treatment Outcome
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