Document Detail


Profuse mediastinal haemorrhage due to mediastinitis after sternotomy. Report of three cases and review of the literature.
MedLine Citation:
PMID:  8976038     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Profuse spontaneous haemorrhage occurred in association with mediastinitis after median sternotomy for coronary bypass surgery in three men aged 54, 47 and 59 years. The bleeding sites were aorta, right ventricle and saphenous bypass graft. The aortic rupture occurred during closed lavage, the right ventricle ruptured during open saline mediastinal packing and the saphenous vein graft was eroded by a mediastinal drainage tube after discontinuation of closed lavage. This third patient survived and recovered, but the two others died. Previously published reports of 56 patients with 65 bleedings from this rare complication are reviewed. The outcome was fatal in 34% of cases.
Authors:
J Partanen; K A Verkkala; P J Karhunen; R Kauppila; M S Nieminen
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Scandinavian journal of thoracic and cardiovascular surgery     Volume:  30     ISSN:  0036-5580     ISO Abbreviation:  Scand J Thorac Cardiovasc Surg     Publication Date:  1996  
Date Detail:
Created Date:  1997-03-05     Completed Date:  1997-03-05     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  0121343     Medline TA:  Scand J Thorac Cardiovasc Surg     Country:  SWEDEN    
Other Details:
Languages:  eng     Pagination:  167-73     Citation Subset:  IM    
Affiliation:
Department of Medicine, Helsinki University Central Hospital.
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MeSH Terms
Descriptor/Qualifier:
Hemorrhage / etiology*
Humans
Male
Mediastinal Diseases / etiology*
Mediastinitis / complications*,  etiology*
Middle Aged
Postoperative Complications
Sternum / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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