Chronic encapsulated mediastinal abscess presenting with remote cutaneous fistulization 12 years after redo aortic valve replacement for prosthetic valve endocarditis

被引：0
作者：
Pankaj Kaul
Syed SA Qadri
Mohd Riaz
机构：
[1] Leeds General Infirmary,
来源：
Journal of Cardiothoracic Surgery | / 1卷
关键词：
Aortic Valve Replacement; Muscle Flap; Rectus Sheath; Mediastinitis; Prosthetic Valve Endocarditis;
D O I：
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学科分类号：
摘要：
Chronic encapsulated mediastinal abscess is an unusual complication of previous open heart surgery. We report on the case of a 79 year old male who presented with epigastric fistulization of an encapsulated anterior mediastinal abscess 12 years after a redo aortic valve replacement for prosthetic valve endocarditis. The encapsulated abscess and its complex branching tracts and the cutaneous fistula were excised completely except the thin longitudinal strip of the ascending aorta which formed part of the posterior wall of the infected tract. This was covered with transposed greater omentum based on right gastroepiploic artery pedicle. Patient remains fit and well 2 years after his operation.
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