Validação do MagedanzSCORE como preditor de mediastinite após cirurgia de revascularização miocárdica

Preoperative risk factors for mediastinitis after cardiac surgery: analysis of 2768 patients

“…Furthermore, the involvement of sternal irrigation after dissection of left internal thoracic artery, right or both, in patients with low tissue perfusion consequent to a state of low cardiac output, also facilitate the action of bacteria [17]. Recent studies indicate that the male patient is more prone to develop mediastinitis and is an independent risk factor for its development [18][19][20]. In the present study, as well as that published by Sá et al [21], there was a higher incidence of mediastinitis in male patients.…”

“…The need for surgical intervention was a risk factor for mediastinitis most important in this group of patients. From these data, the authors formulated a risk score for postoperative mediastinitis in myocardial revascularization, which was later validated by Sá et al [20].…”

Skeletonized left internal thoracic artery is associated with lower rates of mediastinitis in diabetic patients

“…Mediastinitis is a deep wound infection after median sternotomy, with clinical evidence and / or microbiological commitment of the retrosternal space, associated with sternal osteomyelitis with or without its instability [1][2][3][4]. It is one of the most serious complications of median sternotomy and is associated to significant morbidity and mortality [5].…”

Long term mortality of deep sternal wound infection after coronary artery bypass surgery

“…Deep sternal wound infection and mediastinitis (DSWI) are serious postoperative complications in patients undergoing coronary artery bypass graft surgery (CABG) [1][2][3][4]. Patients suffering from DSWI have high morbidity and mortality, with the in-hospital deaths occurring in up to 20% of those subjects [5].…”