Document Detail

Successful video-assisted mediastinoscopic drainage of descending necrotizing mediastinitis.
MedLine Citation:
PMID:  16731169     Owner:  NLM     Status:  MEDLINE    
Descending necrotizing mediastinitis is an uncommon form of mediastinitis that can rapidly progress to septacemia. To date, the optimal surgical approach has remained controversial. We report a case of descending necrotizing mediastinitis that was treated successfully through a transcervical approach with video-assisted mediastinoscopy. In our case, because the abscess was separated into small compartments, especially in the paratracheal space, the abscess was drained using video-assisted mediastinoscopy. This less-invasive approach may be an option in the treatment of descending necrotizing mediastinitis, especially when the abscess in the paratracheal space is separated into small compartments.
Kimihiro Shimizu; Yoshimi Otani; Tetuhiro Nakano; Yukihiro Takayasu; Yoshihito Yasuoka; Yasuo Morishita
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  81     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2006 Jun 
Date Detail:
Created Date:  2006-05-29     Completed Date:  2007-09-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  2279-81     Citation Subset:  AIM; IM    
Division of Thoracic and Visceral Organ Surgery, Gunma University Faculty of Medicine, Gunma, Japan.
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MeSH Terms
Abscess / pathology,  surgery*
Drainage* / methods
Dyspnea / etiology
Mediastinitis / pathology,  surgery*
Neck / surgery
Pharyngitis / complications
Surgical Procedures, Minimally Invasive
Video-Assisted Surgery*

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

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