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Published on: July 18, 2014
Comprehensive management of late mediastinitis involving an aortic Dacron graft
Alessandro Affronti1, Marta Hernandez-Meneses2, Elena Sandoval Martínez1
1Cardiovascular Surgery Department, Hospital Clínic, University of Barcelona, Barcelona, Spain
Abstract:
We present a case of late mediastinitis following surgery for type A aortic dissection. After a thorough preoperative workup, the patient underwent a redo sternotomy, removal of all prosthetic material, and replacement of the aortic root with a homograft. The patient required venoarterial extracorporeal membrane oxygenation and delayed sternal closure for post-postoperative biventricular failure as well as prolonged antibiotic treatment. We present our institutional multidisciplinary approach for the management of such complex cases.
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