Heart and Vessels

, Volume 21, Issue 6, pp 392–394

High-pressure irrigation and gentian-violet application for mediastinitis following replacement of ascending aorta and aortic valve

Authors

    • Department of Cardiovascular SurgeryShizuoka Medical Center
  • Hisato Takagi
    • Department of Cardiovascular SurgeryShizuoka Medical Center
  • Yukihiro Matsuno
    • Department of Cardiovascular SurgeryShizuoka Medical Center
  • Matsuhisa Imaizumi
    • Department of Cardiovascular SurgeryShizuoka Medical Center
  • Takuya Umemoto
    • Department of Cardiovascular SurgeryShizuoka Medical Center
CASE REPORT

DOI: 10.1007/s00380-006-0921-5

Cite this article as:
Kato, T., Takagi, H., Matsuno, Y. et al. Heart Vessels (2006) 21: 392. doi:10.1007/s00380-006-0921-5

Abstract

Mediastinitis following ascending aortic replacement is intractable and potentially fatal, and the feature is characterized as having both high mortality and morbidity when its causation pathology is methicillin-resistant Staphylococcus aureus (MRSA). Possible treatments for the condition, which include debridement, irrigation, and healthy tissue transposition, often result in failure. We report a case of MRSA mediastinitis after replacement of the ascending aorta and the aortic valve successfully treated by continuous saline lavage and drainage, debridement, high-pressure irrigation, and gentian-violet application, and delayed omental-flap transposition. The application of gentian violet and high-pressure irrigation may provide an additional option to the standard therapy for intractable mediastinitis after ascending aortic replacement.

Key words

MediastinitisProsthetic graftAscending aortaMethicillin-resistant Staphylococcus aureusGentian violet

Copyright information

© Springer-Verlag Tokyo 2006