Descending Necrotizing Mediastinitis: Surgical Treatment Via Clamshell Approach Hans-Beat Ris, Andrej Banic, Markus Furrer, Marco Caversaccio, Andreas.

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Presentation transcript:

Descending Necrotizing Mediastinitis: Surgical Treatment Via Clamshell Approach Hans-Beat Ris, Andrej Banic, Markus Furrer, Marco Caversaccio, Andreas Cerny, Peter Zbären The Annals of Thoracic Surgery Volume 62, Issue 6, Pages 1650-1654 (December 1996) DOI: 10.1016/S0003-4975(96)00683-2

Fig. 1 Computed tomographic scan of patient 1 with descending necrotizing mediastinitis revealing a fluid- and air-containing mediastinum with enlarged mediastinal lymph nodes (A), and bilateral empyema (B). (C) Intraoperative situs after bilateral decortication, mediastinal debridement, and pericardectomy via clamshell incision. The Annals of Thoracic Surgery 1996 62, 1650-1654DOI: (10.1016/S0003-4975(96)00683-2)

Fig. 2 (A) Descending necrotizing mediastinitis in patient 3 due to a periodontal abscess of the second lower molar with communication between the oral cavity and the neck (arrow). (B) Erythematous and edematous skin of the neck and upper part of the thorax at admission. (C, D) Computed tomographic scan revealing a large abscess of the neck with displacement of the larynx to the right side (C), descending into the anterior and visceral compartment of the mediastinum, and bilateral empyema (D). The Annals of Thoracic Surgery 1996 62, 1650-1654DOI: (10.1016/S0003-4975(96)00683-2)