Mediastinitis due to methicillin-resistant Staphylococcus aureus is a devastating potential complication of cardiac surgery. We treated 4 patients with this condition using a new technique. First we performed an early radical removal of infected tissue and omental transposition with direct primary closure of the sternum and closed continuous irrigation with saline/vancomycin hydrochloride; that was followed by an administration of intravenous antibiotics. We obtained good clinical results, which are reported herein along with the clinical courses. © 2003 by The Society of Thoracic Surgeons.
Hirata, N., Hatsuoka, S., Amemiya, A., Ueno, T., & Kosakai, Y. (2003). New Strategy for Treatment of MRSA Mediastinitis: One-Stage Procedure for Omental Transposition and Closed Irrigation. Annals of Thoracic Surgery, 76(6), 2104–2106. https://doi.org/10.1016/S0003-4975(03)00744-6