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ISSN 2448-5640 (Print)
Diario Oficial de la Sociedad Mexicana de Cirugía Cardiaca, A.C., y del Colegio Mexicano de Cirugía Cardiovascular y Torácica, A.C.

2017, Number 1

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Cir Card Mex 2017; 2 (1)

Mediastinitis en pacientes postoperados de cirugía cardiaca en el Instituto Nacional de Cardiología Ignacio Chávez

Puentes U, Santibañez-Escobar F, Morales-Flores C, Ortíz-Vázquez MP

Language: Spanish
References: 18
Page: 9-12
PDF size: 147.54 Kb.


ABSTRACT

Objective. To analyse the pre and postoperative clinical data of patients with mediastinitis underwent cardiac surgery at the National Institute of Cardiology Ignacio Chávez.
Material and methods. This is a retrospective and transversal study, there were 53 patients from January 2007 to December 2009, who underwent cardiac surgery with diagnosis of mediastinitis and mediastinal exploration, were done.
Results. We studied the records of patients diagnosed with mediastinitis corresponding to a 2.6% annual mediastinitis all patients undergoing cardiac surgery. Hospital mortality was 26%. Risk variables presented more frequent were obesity 18%, diabetes 47%, age (elder than 60 year-old, 67%), prolonged ventilation 40%, and postoperative pneumonia 18%. There were 32% of coronary artery bypass surgery and 62% of valvular surgery. Surgical treatment performed were debridement, washing and sternal closure with curettage of sternal branches 65%, partial sternectomy with pectorals overlap 12%, pectoral flap rotation 8%, and application of omentum 10%, and the use of continuous aspiration system assisted (VAC) 4%.
Conclusions. In our institution, the surgical treatment mostly consists in the exploration, debridment, washing and direct closure in relationship to the surgical findings. Beyond VAC, the incidence and mortality rates are similar than those reported in the literature. We can conclude that the surgical treatment here is the appropriate.


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