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Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Cardiac Reoperation in a patient who previously underwent omentoplasty for postoperative mediastinitis: a case report. | Bilal et al. Journal of Cardiothoracic Surgery 2011 6 35 http www.cardiothoracicsurgery.Org content 6 1 35 JCTS JOURNAL OF CARDIOTHORACIC SURGERY CASE REPORT Open Access Cardiac Reoperation in a patient who previously underwent omentoplasty for postoperative mediastinitis a case report 1 f 1 1 2 3 Mehmet S Bilal Onur Gurer Ahmet Kirba Yahya Yildiz and Ahmet Ọelebi Abstract Sternal infection has become a rare but challenging problem with significant mortality and morbidity rates since the introduction of sternotomy. Reported rates of mediastinal and sternal infection range from 0.4 to 5 . The ideal reconstruction after sternal debridement is still controversial. Different methods such as debridement and open packing with continuous antibiotic irrigation or sternectomy with omental or muscle transposition have been proposed. In this study we present the cardiac reoperation of a 52 year old man with corrected transposition of great arteries c-TGA who had undergone a previous omentoplasty for postoperative mediastinitis. Introduction Sternal infection has been a challenging problem with high mortality and morbidity rates since the introduction of sternotomy in 1957 1 . Mediastinitis after cardiac surgery is still an important complication associated with significant morbidity and mortality 2 3 . Mediastinal and sternal infection rates range from 0.4 to 5 . As the subsequent septicemia and sepsis targeting the heart the sutures lines and prosthetic conduits or valves can be life-threatening a rapid and effective treatment is required to avoid high mortality in these patients. Optimal treatment for poststernotomy mediastinitis remains controversial. In this study we present the cardiac reoperation of a 52 year old man with corrected transposition of great arteries c-TGA who had undergone a previous omentoplasty for postoperative mediastinitis. Case Report A 52 year old man was admitted to our clinic with shortness of breath and tachycardia. His past medical history .
