General thoracic and cardiovascular surgery
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Gen Thorac Cardiovasc Surg · Nov 2017
Case ReportsDescending necrotizing mediastinitis with Lemierre's syndrome.
Descending necrotizing mediastinitis is a severe infection of the mediastinum. Lemierre's syndrome manifests as thrombophlebitis in the cervical veins, which is caused by a neck infection. A 50-year-old woman had a fever with a 13-day history of neck pain. ⋯ Multiple small pulmonary nodules were found, suggesting septic pulmonary embolism. Emergency surgery for bilateral cervical and mediastinal drainage was performed, and antibiotics and anticoagulation agent was administered. Edoxaban was required to clear vein thrombosis and pulmonary embolization.
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Gen Thorac Cardiovasc Surg · Nov 2017
Safety and effectiveness of tolvaptan for fluid management after pediatric cardiovascular surgery.
Postoperative fluid management is important after open heart surgery, because cardiopulmonary bypass evokes an abnormal inflammatory response and increases vascular permeability, especially in pediatric patients. We assessed the safety and effectiveness of tolvaptan for management of postoperative fluid retention after congenital heart surgery. ⋯ Tolvaptan appears to be effective and safe for management of postoperative fluid retention after congenital heart surgery.