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  • Title: Successful video-assisted mediastinoscopic drainage of descending necrotizing mediastinitis.
    Author: Shimizu K, Otani Y, Nakano T, Takayasu Y, Yasuoka Y, Morishita Y.
    Journal: Ann Thorac Surg; 2006 Jun; 81(6):2279-81. PubMed ID: 16731169.
    Abstract:
    Descending necrotizing mediastinitis is an uncommon form of mediastinitis that can rapidly progress to septacemia. To date, the optimal surgical approach has remained controversial. We report a case of descending necrotizing mediastinitis that was treated successfully through a transcervical approach with video-assisted mediastinoscopy. In our case, because the abscess was separated into small compartments, especially in the paratracheal space, the abscess was drained using video-assisted mediastinoscopy. This less-invasive approach may be an option in the treatment of descending necrotizing mediastinitis, especially when the abscess in the paratracheal space is separated into small compartments.
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