2000
DOI: 10.1590/s0102-76382000000100004
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Abstract: A cirurgia cardíaca não foge à regra. Apesar de ser sofisticado método de tratamento invasivo, observamos a ocorrência de quadros infecciosos gravíssimos que desafiam a competência da equipe cirúrgica e dos centros de tratamento cardiológico.A abertura do esterno para possibilitar o acesso ao coração, introduzida por MILTON (1,2) , em 1897, e popularizada por JULIAN (3) et al., tem sido evitada sempre que possível. Lança-se mão de procedimentos cardiológicos invasivos com cateteres ou balões (4) e, ultimamente… Show more

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Cited by 15 publications
(22 citation statements)
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“…The risk factors reported by the literature [4,7] were observed in 23 (92%) patients, among which the most frequent ones were diabetes and smoking. The latter has already been demonstrated as a risk factor for an adverse outcome in prior studies, although not independently [8].…”
Section: Discussionmentioning
confidence: 99%
“…The risk factors reported by the literature [4,7] were observed in 23 (92%) patients, among which the most frequent ones were diabetes and smoking. The latter has already been demonstrated as a risk factor for an adverse outcome in prior studies, although not independently [8].…”
Section: Discussionmentioning
confidence: 99%
“…The dehiscences were closed by bilateral pectoralis major muscle flap. The rotation of the rectus abdominis muscle flap or omentum and composed of breast tissue were used when necessary [11][12][13].…”
Section: Propensity Scorementioning
confidence: 99%
“…(1-2) It is an entity whose incidence is low, ranging from 0.2% to 5% among patients submitted to median sternotomy, (3) but whose mortality rate is high. In more recent studies, acute mediastinitis mortality has been estimated to range from 15.4% to 50%.…”
Section: Introductionmentioning
confidence: 99%
“…These include smoking, diabetes mellitus, chronic obstructive pulmonary disease, long-term corticosteroid use and long stays in intensive care units. (3) Inflammation of the mediastinum may have several causes, chief among which are median sternotomy (3,5) and esophageal perforation (Boerhaave's syndrome, dilatations, foreign bodies, etc. ), (7)(8)(9)(10) as well as head and neck suppurations such as peritonsillar abscesses, deep cervical abscesses, etc.…”
Section: Introductionmentioning
confidence: 99%
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