| Successful Continuous Irrigation
for Methicillin-Resistant Staphylococcus aureus Mediastinitis
after Open Heart Surgery in an Infant with Hypoplastic Left Heart
Syndrome |
| Atsushi Ito |
Kozo Ishino |
Masaaki Kawada |
| Gentaro Kato |
Tomohiro Asai |
Yu Ohshima |
| Zen-ichi Masuda |
Shunji Sano |
|
(Department of Cardiovascular Surgery, Okayama
University Medical School, Okayama, Japan)
|
A2-month-old boy developed Methicillin-resistant
Staphylococcus aureus (MRSA) mediastinitis after bidirectional
Glenn anastomosis for hypoplastic left heart syndrome. After
reexploration, only the skin was closed but the sternum left
open, and continuous mediastinal irrigation using saline containing
isodine was commenced at an infusion rate of 20-40ml/h. The sternum
was closed on day 7 and irrigation was stopped on day 21. The
patient was weaned from the ventilator 4 days later, and is currently
in a good condition awaiting a Fontan operation
Jpn. J. Cardiovasc. Surg. 31: 214-216(2002) |
|
