Abstract
Mediastinitis continues to be an important and life-threatening complication after median sternotomy despite advances in prevention and treatment strategies, with an incidence of 0.25-5%. It can also occur as extension of infection from adjacent structures such as the oesophagus, airways and lungs, or as descending necrotizing infection from the head and neck. In addition, there is a chronic form of 'chronic fibrosing mediastinitis' usually caused by granulomatous infections. In this expert consensus, the evidence for strategies for treatment and prevention of mediatinitis is reviewed in detail aiming at reducing the incidence and optimizing the management of this serious condition.
Original language | English |
---|---|
Pages (from-to) | 10-29 |
Number of pages | 20 |
Journal | European Journal of Cardio-thoracic Surgery |
Volume | 51 |
Issue number | 1 |
DOIs | |
Publication status | Published - Jan 1 2017 |
Keywords
- Cardiac surgery
- General thoracic surgery
- Guideline
- Mediastinitis
- Prevention
- Treatment
ASJC Scopus subject areas
- Surgery
- Pulmonary and Respiratory Medicine
- Cardiology and Cardiovascular Medicine