Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Successful Surgical Treatment of Acute Mediastinitis after Central Catheter Insertion - One case report -

중심정맥관 삽관 후 발생한 급성 종격동염의 수술치료 - 1예 보고 -

  • Lee, Jae-Ik (Department of Thoracic and Cardiovascular Surgery, Gachon University Gil Medical Center) ;
  • Choi, Pill-Jo (Department of Thoracic and Cardiovascular Surgery, College of Medicine, DongA University) ;
  • Yie, Kil-Soo (Department of Thoracic and Cardiovascular Surgery, Sejong General Hospital, Sejong Heart Institute)
  • 이재익 (가천의과학대학교 길병원 흉부외과) ;
  • 최필조 (동아대학교 의과대학 흉부외과학교실) ;
  • 이길수 (부천세종병원 흉부외과, 세종심장연구소)
  • Published : 2007.05.05
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Abstract

Subclavian catheter insertion is now widely used because of its technical feasibility and effectiveness, but some complications related to this procedure have been noted. We present here a rare surgical case of post central line insertion mediastinitis with no mechanical complication.

중심정맥 삽관은 술기의 안정성과 효용성으로 인해 날로 증가하는 추세이나 그에 의한 합병증도 빈발하게 나타난다. 본 증례는 혈관 천공 등의 여타 합병증 없이 당뇨와 천식을 가진 74세 남자 환자에서 중심정맥 삽관 후 발생한 종격동염을 수술을 통해 성공적으로 치료한 예이다.

Keywords

References

  1. Sheilds TW. The mediastinum: its compartments and the mediastinal lymph nodes. In: Locicero J III, Ponn RB, Rusch VW. General thoracic surgery. 6th ed. Philadelphia: LWW Publishing Co. 2005;2343-6
  2. Sancho LM, Minamoto H, Fernandez A. Descending necrotizing mediastinitis: a retrospective surgical experience. Eur J Cardiothorac Surg 1999;16:200-5 https://doi.org/10.1016/S1010-7940(99)00168-2
  3. Marty-Ane CH, Berthet JP, Alric P, Pegis JD, Rouviere P, Mary H. Management of descending necrotizing mediastinitis: an aggressive treatment for an aggressive disease. Ann Thorac Surg 1999;68:212-7 https://doi.org/10.1016/S0003-4975(99)00453-1
  4. Deshpande KS, Hatem C, Ulrich HL, et al. The incidence of infectious complications of central venous catheters at the subclavian, internal jugular, and femoral sites in an intensive care unit population. Crit Care Med 2005;33:13-20 https://doi.org/10.1097/01.CCM.0000149838.47048.60
  5. Prophylactic antibiotics for preventing early central venous catheter Gram positive infections in oncology patients. Available at: http://www.cochrane.org/reviews/en/ab003295.html
  6. Olivier M, Laurence P, Christine L, et al. Prospective, randomized trial of two antiseptic solutions for prevention of central venous or arterial catheter colonization and infection in intensive care unit patients. Crit Care Med 1996;24:1818-23 https://doi.org/10.1097/00003246-199611000-00010