PAseptic Mediastinitis after Surgery for Acute Aortic Dissection in An Elderly Patient: Report of a Case

Abstract

  An 87-year-old woman underwent emergency surgery for acute aortic dissection 2 years ago. She was admitted to the hospital with a diagnosis of suture abscess and underwent suture removal and debridement. A culture of the pus showed no bacteria. However, the swelling was observed again, and computed tomography showed further enlargement of the fluid accumulation around the graft, and the fluid was found to be continuous to the anterior surface of the sternum. The patient underwent surgery with a diagnosis of mediastinitis. Pus was also found around the graft. A culture of the pus did not detect any bacteria. She underwent omentopexy. She was discharged 19 days after the operation without any infectious complications.