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.
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Kato, T., Takagi, H., Matsuno, Y. et al. High-pressure irrigation and gentian-violet application for mediastinitis following replacement of ascending aorta and aortic valve. Heart Vessels 21, 392–394 (2006). https://doi.org/10.1007/s00380-006-0921-5
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DOI: https://doi.org/10.1007/s00380-006-0921-5