BENTALL PROSEDÜRÜ SONRASI GELİŞEN MEDİASTİNİTTE BAŞARILI BİR TEDAVİ SÜRECİ

Bentall prosedürü geçirmiş ve mediastende prostetik konduit grefti bulunan hastalarda mediastinit önemli bir komplikasyondur. Tedavide grefin değişimi söz konusu olabilmekle birlikte, konservatif yöntemler de tercih edilebilir. Biz de Bentall Prosedürü sonrası gelişen mediastinitte, agresif debridman, irrigasyon ve omentum transpozisyonu ile tedavi ettiğimiz bir vakayı sunuyoruz. Hasta postoperative 42. günde taburcu edildi ve 3. ay kontrolünde enfeksiyon veya mekanik komplikasyon saptanmadı

Successful Management of Mediastinitis After Bentall Procedure

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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Acıbadem Üniversitesi Sağlık Bilimleri Dergisi-Cover
  • ISSN: 1309-470X
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 2010
  • Yayıncı: ACIBADEM MEHMET ALİ AYDINLAR ÜNİVERSİTESİ