Postoperative mediastinitis in cardiac surgery practice

Kulinich A.V.

Volgograd State Medical University

ORCID: 0000-0001-5335-5663

Vorobev A.A.

Moscow Research Clinical Center for Tuberculosis Control

Kalashnikov A.V.

Volgograd State Medical University

ORCID: 0000-0002-9801-5977

Kuzmin M.E.

Volgograd State Medical University

ORCID: 0009-0005-5871-1707

Postoperative mediastinitis in cardiac surgery practice

Authors:

Kulinich A.V., Vorobev A.A., Kalashnikov A.V., Kuzmin M.E.

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Journal: Russian Journal of Operative Surgery and Clinical Anatomy. 2023;7(2): 51‑54

DOI: 10.17116/operhirurg2023702151

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To cite this article:

Kulinich AV, Vorobev AA, Kalashnikov AV, Kuzmin ME. Postoperative mediastinitis in cardiac surgery practice. Russian Journal of Operative Surgery and Clinical Anatomy. 2023;7(2):51‑54. (In Russ.)
https://doi.org/10.17116/operhirurg2023702151

Подписка 2025-2 (Russian Journal of Operative Surgery and Clinical Anatomy)

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OBJECTIVE

To consider a clinically and laboratory confirmed case of recurrent post-sternotomy mediastinitis, features of its management, treatment tactics and prevention methods.

MATERIAL AND METHODS

Histories of cardiosurgical patients for 2021—2022, according to which the features of the course of the disease and treatment methods were studied.

RESULTS

A clinical case of post-sternotomy mediastinitis that developed after coronary artery bypass grafting with a recurrent course against the background of uncontrolled diabetes mellitus, a fragmented sternum, and an inflammatory reaction to wire ligatures.

CONCLUSION

Analysis of the clinical case shows that routine and timely identification of risk factors available for planned surgical treatment can significantly reduce the incidence of mediastinitis in cardiac surgery.

Keywords:

mediastinitis

sternum

osteosynthesis

sternotomy

cardiac surgery

Authors:

Kulinich A.V.

Volgograd State Medical University

ORCID: 0000-0001-5335-5663

Vorobev A.A.

Moscow Research Clinical Center for Tuberculosis Control

Kalashnikov A.V.

Volgograd State Medical University

ORCID: 0000-0002-9801-5977

Kuzmin M.E.

Volgograd State Medical University

ORCID: 0009-0005-5871-1707

Received:

28.02.2022

Accepted:

27.04.2022

List of references:

Perrault LP, Kirkwood KA, Chang HL, Mullen JC, Gulack BC, Argenziano M, Gelijns AC, Ghanta R, Whitson BA, Williams DL, Sledz-Joyce NM, Lima B, Greco G, Fumakia N, Rose EA, Puskas JD, Blackstone EH, Weisel RD, Bowdish ME. A prospective multi-institutional cohort study of mediastinal infections after cardiac operations. Ann Thorac Surg. 2018;105:461-468. https://doi.org/10.1016/j.athoracsur.2017.06.078
CDC. National Healthcare Safety Network (NHSN) Patient Safety Component Manual. 2018;1-321. access date 01.06.2019
Vishnevsky AA, Karmazanovsky GG, Kosova IA, Pechetov AA, Dankov DV, Adamskaya NA. Multislice computed tomography for exacerbation of surgical treatment of chronic postoperative sternomediastinitis. Meditsinskaya visualisatsiya. 2012;1:83-91. (In Russ.).
Kokhan EP, Kokhan EP, Asanov ON, Potapov VA. Optimization of diagnosis, treatment and prevention of infectious complications of the sternotomy wound in cardiosurgical patients. Proceedings of the 3rd International Congress «Wounds and wound infections». M. 2016. (In Russ.).
Vishnevsky AA, Pechetov AA, Dankov DV. Asymmetric sternotomy as a risk factor in the development of postoperative sternomediastinitis. Grudnaya i serdechno-sosudistaya khirurgiya. 2012;2:19-23. (In Russ.).
Lednev PV, Belov YuV, Stonogin AV. Postoperative sternomediastinitis. Khirurgiya. Zhurnal im. N.I. Pirogova. 2018;4:84-89. (In Russ.). https://doi.org/10.17116/hirurgia2018484-89

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