Ventricular pulling sign on computed tomography in mediastinitis—a predictor for right ventricular rupture at surgery

Hidenobu Takaki, Kenichi Hashizume, Kanako Hayashi, Hiroaki Kaneyama

研究成果: Article査読

抄録

Mediastinitis is an unusual but potentially life-threatening complication of cardiac surgery. Open drainage is one of the standard therapies, but there could sometimes be potential complications. We had a patient who underwent open drainage surgery for postoperative mediastinitis, and right ventricular rupture occurred subsequently to extubation in an operation room. Retrospectively reviewed, computed tomography showed strong adhesions between the right ventricle and the posterior margin of sternum, pulling his right ventricle to the right side of his sternum. We should have noticed the risk of leaving the sternum open and performed adhesiolysis of the right ventricle and the posterior margin of sternum to prevent the devastating complication. This case illustrates the importance of recognizing the rare computed tomography sign of ventricular pulling—a predictor for right ventricular rupture after open drainage for mediastinitis.

本文言語English
ページ(範囲)629-631
ページ数3
ジャーナルIndian Journal of Thoracic and Cardiovascular Surgery
36
6
DOI
出版ステータスPublished - 2020 11 1

ASJC Scopus subject areas

  • 外科
  • 呼吸器内科
  • 循環器および心血管医学

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