Abstract
In our experience, PDT after total arch replacement, especially after dissection of neck vessels, should be approached with caution. A long skin incision that allows discharge to drain from the wound and a sufficiently long postoperative tracheostomy period to allow tissue healing in the neck are necessary for prevention of mediastinitis.
Key words
Tracheostomy - Percutaneous dilatational tracheostomy - Mediastinitis - Cardiac surgery - Thoracic aortic aneurysm
References
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1
Wagner F, Nasseri R, Laucke U, Hetzer R.
Percutaneous dilatational tracheostomy: results and long-term outcome of critically ill patients following cardiac surgery.
Thorac Cardiovasc Surg.
1998;
46
352-356
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2
Hübner N, Rees W, Seufert K, Bockelmann M, Christmann U, Warnecke H.
Percutaneous dilatational tracheostomy done early after cardiac surgery - Outcome and incidence of mediastinitis.
Thorac Cardiovasc Surg.
1998;
46
89-90
MD Katsuhide Maeda
Department of Cardiothoracic Surgery, University of Tokyo, Hospital
7-3-1 Hongo,
Bunkyo-ku
Tokyo 113-8655
Japan
Phone: +81-3-5800-8654
Fax: +81-3-5684-3989
