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Ann Thorac Surg. 2006 Jun;81(6):2279-81.

Successful video-assisted mediastinoscopic drainage of descending necrotizing mediastinitis.

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1
Division of Thoracic and Visceral Organ Surgery, Gunma University Faculty of Medicine, Gunma, Japan. kmshimiz@showa.gunma-u.ac.jp

Abstract

Descending necrotizing mediastinitis is an uncommon form of mediastinitis that can rapidly progress to septacemia. To date, the optimal surgical approach has remained controversial. We report a case of descending necrotizing mediastinitis that was treated successfully through a transcervical approach with video-assisted mediastinoscopy. In our case, because the abscess was separated into small compartments, especially in the paratracheal space, the abscess was drained using video-assisted mediastinoscopy. This less-invasive approach may be an option in the treatment of descending necrotizing mediastinitis, especially when the abscess in the paratracheal space is separated into small compartments.

[Indexed for MEDLINE]

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