Koroner arter bypass cerrahisi sonrası gecikmiş mediastinitte yaklaşım: Olgu sunumu
Küçük Resim Yok
Tarih
2001
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Koagülaz negatif stafilokoklar son yıllarda açık kalp cerrahisi sonrasında özellikle yabancı cisim implante edilen olgularda önemli bir patojen olarak kabul edilmektedir. Kliniğimizde daha önce iki kez koroner arter bypass operasyonu geçiren bir olguda ikinci operasyondan 40 ay sonra koagülaz negatif stafilokokun etken olduğu gecikmiş mediastinit tespit edildi. Cerrahi girişimde sağ internal mammaryan arter çevresine önceki operasyonda konmuş olan polytetrafluoroethylene kılıf çıkarılarak debritman ve pektoral uzatma flebi ile rekonstrüksiyon uygulandı. Revizyon sonrası 6 aylık takipte rekürrens gözlenmedi.
In recent years coagulase negative staphylococci have been recognized as important pathogens after cardiac operations, especially in cases with implanted foreign materials. We experienced a case of delayed mediastinitis, who had two coronary bypass grafting operations. An interval is 40 months after second operation. A polytetrafluorothylene sheet which had been placed at the second operation around the right internal mammarian artery was explanted. Wound debritment and primary closure using a pectoral advancement flap was performed. For six months after repair, he was free from recurrence.
In recent years coagulase negative staphylococci have been recognized as important pathogens after cardiac operations, especially in cases with implanted foreign materials. We experienced a case of delayed mediastinitis, who had two coronary bypass grafting operations. An interval is 40 months after second operation. A polytetrafluorothylene sheet which had been placed at the second operation around the right internal mammarian artery was explanted. Wound debritment and primary closure using a pectoral advancement flap was performed. For six months after repair, he was free from recurrence.
Açıklama
Anahtar Kelimeler
Cerrahi, Kalp ve Kalp Damar Sistemi
Kaynak
Türk Göğüs Kalp Damar Cerrahisi Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
9
Sayı
3
