Display options
Cite
Anthuber M, Kemkes BM, Kreuzer E, et al. Mediastinitis and mycotic aneurysm of the aorta after orthotopic heart transplantation. Tex Heart Inst J. 1991;18(3):186-93
Anthuber, M., Kemkes, B. M., Kreuzer, E., Gokel, M., Schuetz, A., Kugler, C., & Sudhoff, F. (1991). Mediastinitis and mycotic aneurysm of the aorta after orthotopic heart transplantation. Texas Heart Institute journal, 18(3), 186-93.
Anthuber, M, et al. "Mediastinitis and mycotic aneurysm of the aorta after orthotopic heart transplantation." Texas Heart Institute journal vol. 18,3 (1991): 186-93.
Anthuber M, Kemkes BM, Kreuzer E, Gokel M, Schuetz A, Kugler C, Sudhoff F. Mediastinitis and mycotic aneurysm of the aorta after orthotopic heart transplantation. Tex Heart Inst J. 1991;18(3):186-93. PMID: 15227478; PMCID: PMC324995.
Copy Download .nbib Format: NLM
Share it on

Tex Heart Inst J. 1991;18(3):186-93.

Mediastinitis and mycotic aneurysm of the aorta after orthotopic heart transplantation.

Texas Heart Institute journal

M Anthuber, B M Kemkes, E Kreuzer, M Gokel, A Schuetz, C Kugler, F Sudhoff

Affiliations

  1. Department of Cardiac Surgery, University Hospital Munich Grosshadern, Munich, Federal Republic of Germany.

PMID: 15227478 PMCID: PMC324995

Abstract

After cardiac transplantation, bacterial mediastinitis is a rare but dangerous early complication. Of the 113 patients who underwent heart or heart-lung transplantation at our hospital from August 1981 to April 1989, 8 developed purulent mediastinitis. Treatment involved surgical débridment, local irrigation, drainage, and high-dose systemic antibiotics. No patient died of an acute mediastinal infection. In 2 cases, however, chronic mediastinitis led to the formation of a huge mycotic aneurysm of the ascending aorta. Eleven days after surgical intervention for rupture, 1 patient died of aneurysmal rerupture; the 2nd patient remains well 16 months after prosthetic replacement of the ascending aorta and reconstruction of the necrotic proximal portion of the left coronary artery with a saphenous vein patch.

References

  1. Ann Thorac Surg. 1989 Feb;47(2):193-203 - PubMed
  2. Ann Thorac Surg. 1989 Aug;48(2):228-31 - PubMed
  3. J Heart Transplant. 1988 Sep-Oct;7(5):390-4 - PubMed
  4. Br Med J (Clin Res Ed). 1986 Apr 26;292(6528):1108 - PubMed
  5. J Heart Transplant. 1986 Mar-Apr;5(2):148-53 - PubMed
  6. J Heart Transplant. 1988 Mar-Apr;7(2):159-61 - PubMed
  7. J Heart Transplant. 1988 Mar-Apr;7(2):162-4 - PubMed
  8. Transplantation. 1988 May;45(5):990-1 - PubMed
  9. J Heart Transplant. 1986 Nov-Dec;5(6):477-9 - PubMed
  10. J Heart Transplant. 1986 Jul-Aug;5(4):330-1 - PubMed
  11. AJR Am J Roentgenol. 1986 Oct;147(4):657-63 - PubMed
  12. Radiology. 1985 Apr;155(1):221-9 - PubMed
  13. Ann Thorac Surg. 1985 Sep;40(3):214-23 - PubMed
  14. Ann Thorac Surg. 1984 Oct;38(4):415-23 - PubMed
  15. J Thorac Cardiovasc Surg. 1982 Apr;83(4):632-4 - PubMed
  16. Plast Reconstr Surg. 1982 Oct;70(4):465-70 - PubMed
  17. Ann Surg. 1980 Jun;191(6):738-44 - PubMed
  18. Arch Surg. 1976 Apr;111(4):472-6 - PubMed
  19. Arch Surg. 1979 Apr;114(4):386-92 - PubMed
  20. J Thorac Cardiovasc Surg. 1976 Nov;72(5):714-26 - PubMed
  21. Arch Surg. 1963 Mar;86:384-7 - PubMed
  22. Tex Heart Inst J. 1986 Mar;13(1):5-12 - PubMed
  23. J Heart Transplant. 1990 May-Jun;9(3 Pt 1):230-5 - PubMed
  24. J Heart Transplant. 1990 Jul-Aug;9(4):323-30 - PubMed
  25. Transplantation. 1988 Sep;46(3):469-72 - PubMed

Publication Types