Chronic encapsulated mediastinal abscess presenting with remote cutaneous fistulization 12 years after redo aortic valve replacement for prosthetic valve endocarditis
2006
Chronic Encapsulated Mediastinal Abscess After Heart Surgery
Sample size: 1
publication
Evidence: low
Author Information
Author(s): Kaul Pankaj, Qadri Syed SA, Riaz Mohd
Primary Institution: Leeds General Infirmary
Conclusion
The case report highlights a rare instance of a chronic encapsulated mediastinal abscess that developed 12 years after heart surgery, which was successfully treated.
Supporting Evidence
- The abscess was found to be encapsulated and had complex branching tracts.
- Microbiology revealed staphylococcus aureus infection.
- The patient remained asymptomatic for 12 years after the second valve replacement.
Takeaway
A 79-year-old man had a rare infection in his chest that showed up 12 years after heart surgery, and doctors were able to fix it by removing the infection and covering the area with tissue from his belly.
Methodology
The abscess was excised through exploratory surgery, and the area was covered with transposed greater omentum.
Limitations
The report is based on a single case, limiting generalizability.
Participant Demographics
79-year-old male
Digital Object Identifier (DOI)
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