Treatment of Late Developed Mediastinitis After Coronary Artery Bypass Surgery: Case Report

Münevver YÜKSEL, Tahir YAĞDI, Tanzer ÇALKAVUR, Fatih İSLAMOĞLU

Ege Üniversitesi Tıp Fakültesi, Kalp ve Damar Cerrahisi Ana Bilim Dalı, İzmir

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In recent years coagulase negative staphylococci have been recognized as important pathogens after cardiac operations, especially in cases with implanted foreign materials. We experienced a case of delayed mediastinitis, who had two coronary bypass grafting operations. An interval is 40 months after second operation. A polytetrafluorothylene sheet which had been placed at the second operation around the right internal mammarian artery was explanted. Wound debritment and primary closure using a pectoral advancement flap was performed. For six months after repair, he was free from recurrence.

Keywords : Coronary artery bypass surgery, mediastinit

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