Management of descending necrotizing mediastinitis: an aggressive treatment for an aggressive disease Charles-Henri Marty-Ané, MD, Jean-Philippe Berthet,

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Presentation transcript:

Management of descending necrotizing mediastinitis: an aggressive treatment for an aggressive disease Charles-Henri Marty-Ané, MD, Jean-Philippe Berthet, MD, Pierre Alric, MD, Jean-Dominique Pegis, MD, Philippe Rouvière, MD, Henri Mary, MD The Annals of Thoracic Surgery Volume 68, Issue 1, Pages 212-217 (July 1999) DOI: 10.1016/S0003-4975(99)00453-1

Fig 1 CT scan appearance of anterior mediastinitis with unencapsulated fluid collections and gas bubbles. The Annals of Thoracic Surgery 1999 68, 212-217DOI: (10.1016/S0003-4975(99)00453-1)

Fig 2 CT scan disclosing mediastinal abscess in the right paratracheal area and posterior mediastinum extending below the carena associated with mediastinal emphysema in the upper and anterior mediastinum. The Annals of Thoracic Surgery 1999 68, 212-217DOI: (10.1016/S0003-4975(99)00453-1)

Fig 3 Post-operative chest CT scan demonstrating persistence of voluminous anterior mediastinal abscess requiring new surgical drainage. The Annals of Thoracic Surgery 1999 68, 212-217DOI: (10.1016/S0003-4975(99)00453-1)

Fig 4 Pathways of extension of oropharyngeal infections into the mediastinum. The Annals of Thoracic Surgery 1999 68, 212-217DOI: (10.1016/S0003-4975(99)00453-1)