Mediastinitis in heart transplantation
作者： Shreekanth V. Karwande , Dale G. Renlund , Stephanie L. Olsen , William A. Gay , Wayne E. Richenbacher
DOI: 10.1016/0003-4975(92)90067-E
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摘要: Abstract Between March 1985 and December 1991, mediastinitis developed in 12 of 420 cardiac transplantation patients (2.8%). The mortality rate this group was 8.3% ( 1 / ). Actuarial survival (1 year, 75%; 5 years, 65%) not significantly different from that the without 88%; 75%). A higher percentage with were listed as UNOS status (50% versus 35%) had a history previous stemotomies (58% 44%). presentation typical. Computed tomographic scanning or aspiration valuable adjunct diagnosis mediastinitis. Induction immunotherapy minimal steroids perioperative period used all patients. This may contribute to patients' ability mount an appropriate effective response infection, permitting earlier diagnosis. debridement irrigation technique 8 low success 33%, whereas muscle flap 4 100% successful eliminating infection.
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