Simultaneous Surgery of the Aortic Valve and Sternal Osteomyelitis

Urbanski, Paul P.; Lindemann, Y; Babin‐Ebell, Jörg; Fröhner, S.; Diegeler, Anno

doi:10.1016/j.athoracsur.2009.01.037

Cited by 3 publications

(2 citation statements)

References 4 publications

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“…Most of these cases involve cardiac surgery and the complications from sternal incision post-surgery 3,4. Infection post-cardiac surgery for procedures such as coronary artery bypass grafting and valve replacement is so common that one study even developed a model using mice to help deal with these infections; the study was used to determine the appropriate amount of antibiotic to administer 5.…”

Section: Discussionmentioning

confidence: 99%

Another cause of chest pain: Staphylococcus aureus sternal osteomyelitis in an otherwise healthy adult

Vacek¹,

Rehman²,

Yu³

et al. 2014

IMCRJ

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Chest pain requires a detailed differential diagnosis with good history-taking skills to differentiate between cardiogenic and noncardiogenic causes. Moreover, when other symptoms such as fever and elevated white blood cell count are involved, it may be necessary to consider causes that include infectious sources. A 53-year-old female with no significant past medical history returned to the hospital with recurrent complaints of chest pain that was constant, substernal, reproducible, and exacerbated with inspiration and expiration. The chest pain was thought to be noncardiogenic, as electrocardiography did not demonstrate changes, and cardiac enzymes were found to be negative for signs of ischemia. The patient’s blood cultures were analyzed from a previous admission and were shown to be positive for Staphylococcus aureus. The patient was started empirically on vancomycin, which was later switched to ceftriaxone as the bacteria were more sensitive to this antibiotic. A transthoracic echocardiogram did not demonstrate any vegetation or signs of endocarditis. There was a small right pleural effusion discovered on X-ray. Therefore, computed tomography as well as magnetic resonance imaging of the chest were performed, and showed osteomyelitis of the chest. The patient was continued on intravenous ceftriaxone for a total of 6 weeks. Tests for HIV, hepatitis A, B, and C were all found to be negative. The patient had no history of childhood illness, recurrent infections, or previous trauma to the chest, and had had no recent respiratory infections, pneumonia, or any underlying lung condition. Hence, her condition was thought to be a case of primary sternal osteomyelitis without known cause.

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Section: Discussionmentioning

confidence: 99%

Another cause of chest pain: Staphylococcus aureus sternal osteomyelitis in an otherwise healthy adult

Vacek¹,

Rehman²,

Yu³

et al. 2014

IMCRJ

View full text Add to dashboard Cite

show abstract

“…Treatment of mediastinitis may depend on the degree severity of the infectious; conservative therapy for mild infections, or single staged intervention such as debridement and primary wound closure for moderate infections, or leaving the wound open and second-stage closure using the several closure techniques available for severe cases [ 9 , 10 ]. Urbanski et al reported a case of chronic sternal osteomyelitis after radiation and severe aortic valve stenosis [ 11 ]. The patient was treated simultaneously by sternal debridement and concomitant aortic valve replacement, and single-stage primary wound closure.…”

Section: Case Presentationmentioning

confidence: 99%

Successful surgical treatment of traumatic sternal fracture with extensive mediastinal abscess and concomitant mitral valve endocarditis: a case report

Munakata

Murakami

Mabuni

et al. 2016

J Cardiothorac Surg

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BackgroundA traumatic sternal fracture with extensive mediastinal abscess and concomitant native valve endocarditis is an extremely rare but catastrophic situation.Case presentationFor 2 weeks, the co-infected patient was treated with aggressive debridement for the mediastinitis, change of vacuum-assisted closure therapy dressings, vegetectomy and valve repair through lower partial sternotomy, and delayed primary wound closure.ConclusionsTo the best of our knowledge, this successful staged strategy has not been previously reported. We believe that our quick decision about repeated surgical interventions and preservation of the manubrium led to a favorable result.

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Are There General Contraindications for Conventional Surgery of Aortic Valve Stenosis?

Diegeler

Urbanski

2010

The Annals of Thoracic Surgery

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Simultaneous Surgery of the Aortic Valve and Sternal Osteomyelitis

Cited by 3 publications

References 4 publications

Another cause of chest pain: Staphylococcus aureus sternal osteomyelitis in an otherwise healthy adult

Another cause of chest pain: Staphylococcus aureus sternal osteomyelitis in an otherwise healthy adult

Successful surgical treatment of traumatic sternal fracture with extensive mediastinal abscess and concomitant mitral valve endocarditis: a case report

Are There General Contraindications for Conventional Surgery of Aortic Valve Stenosis?

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