Successful Treatment of Mediastinitis in a Young Child by Omental Translocation Following Extracardiac Fontan Graft Placement

Pierre Luc Bernier, Danielle Gottlieb, Emile Bacha

Research output: Contribution to journalArticlepeer-review

Abstract

Mediastinitis after a midline sternotomy can become a serious complication, especially after implantation of prosthetic vascular grafts. We present a case of a three-year-old boy with hypoplastic left heart syndrome who developed mediastinitis following his third-stage palliation (Fontan operation). Rather than following the “traditional”� surgical therapy of graft explantation, debridement, and replacement, we chose to preserve the graft and protect it by omental translocation. The relative merits of this therapeutic approach, which is rarely utilized and underappreciated in children, are outlined and discussed.

Original languageEnglish (US)
Pages (from-to)608-610
Number of pages3
JournalWorld Journal for Pediatric and Congenital Heart Surgery
Volume5
Issue number4
DOIs
StatePublished - Oct 2014
Externally publishedYes

Keywords

  • congenital heart disease
  • fontan
  • mediastinal infection
  • morbidity

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health
  • Cardiology and Cardiovascular Medicine

Fingerprint Dive into the research topics of 'Successful Treatment of Mediastinitis in a Young Child by Omental Translocation Following Extracardiac Fontan Graft Placement'. Together they form a unique fingerprint.

Cite this