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Descending Necrotizing Mediastinitis Treated With Rapid Sternotomy Followed by Vacuum-Assisted Therapy  Michael Gorlitzer, MD, Martin Grabenwoeger, MD,

Published byΓαλήνη Κανακάρης-Ρούφος Modified over 4 years ago

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Presentation on theme: "Descending Necrotizing Mediastinitis Treated With Rapid Sternotomy Followed by Vacuum-Assisted Therapy  Michael Gorlitzer, MD, Martin Grabenwoeger, MD,"— Presentation transcript:

1 Descending Necrotizing Mediastinitis Treated With Rapid Sternotomy Followed by Vacuum-Assisted Therapy  Michael Gorlitzer, MD, Martin Grabenwoeger, MD, Johann Meinhart, PhD, Herwig Swoboda, MD, Wolfgang Oczenski, MD, Nikolaus Fiegl, MD, Ferdinand Waldenberger, MD  The Annals of Thoracic Surgery  Volume 83, Issue 2, Pages (February 2007) DOI: /j.athoracsur Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 A computed tomography scan shows a large descending abscess (arrows) in the visceral fascia, the carotid sheath, and the mediastinum. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Descending necrotizing mediastinitis with communication between the neck and the upper part of thorax after excessive debridement of the neck and sternotomy. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Wound sealed with the vacuum-assisted closure system.
The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 Chest computed tomography scan shows gas collections (arrows) in the anterior and middle compartments of the mediastinum and the aortic wall. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

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