[A case report of mediastinitis due to methicillin resistant Staphylococcus aureus after total aortic arch replacement].

Abstract

A 78-year-old man underwent total aortic arch replacement for ruptured aortic arch aneurysm. Two weeks after the surgery, high fever and leucocytosis developed. He was placed on a regimen of antibiotics. However, mediastinitis eventually ensued five weeks later with the pus draining from the sternotomy wound. The culture revealed a Methicillin resistant staphylococcus aureus. The infected tissue was debrided from the mediastinal cavity 40 days postoperatively. The cavity was kept open and was intermittently irrigated with 2% Providone-iodine for three days. Subsequently, an omental graft was placed. The infection successfully subsided gradually and the patient has been well for a year and a half after the initial surgery. The procedure is considered to be extremely effective for the management of a drastic infection involving thoracic aortic prosthesis.

• Authors: S Asano, H Murayama, A Ishida, Y Nakagawa, M Ito, Y Sudo
• Journal: [Zasshi] [Journal]. Nihon Kyobu Geka Gakkai (Nihon Kyobu Geka Gakkai Zasshi) Vol. 44 Issue 6 Pg. 814-9 (Jun 1996) ISSN: 0369-4739 [Print] Japan
• PMID: 8753093 (Publication Type: Case Reports, English Abstract, Journal Article, Review)

Topics

• Aged
• Aorta, Thoracic (surgery)
• Blood Vessel Prosthesis (adverse effects)
• Humans
• Male
• Mediastinitis (etiology, microbiology)
• Methicillin Resistance
• Prosthesis-Related Infections (etiology)
• Staphylococcal Infections
• Staphylococcus aureus (drug effects)