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J Thorac Cardiovasc Surg 2006;131:1202-1203
© 2006 The American Association for Thoracic Surgery


Brief Communication

Aseptic mediastinal cyst caused by BioGlue 7 months after cardiac surgery

A. Szafranek, MD * , S.R. Podila, FRCS, W. Al-Khyatt, MD, E.N. Kulatilake, FRCS

Department of Cardiac Surgery, University Hospital of Wales, Cardiff, United Kingdom

Received for publication October 23, 2005; revisions received November 26, 2005; accepted for publication December 9, 2005.

* Address for reprints: Adam Szafranek, 169 Beaufort Sq. Cardiff CF242TX, United Kingdom (Email: asza@mac.com).

The first 20% of the full text of this article appears below.

We present a patient who had a massive mediastinal cyst 7 months after surgical intervention caused by BioGlue (CryoLife Inc, Atlanta, Ga.) residue. He was referred to us as having a "mediastinal abscess." On the basis of the size and localization of the cyst, we drained it, and during the procedure, artificial material was found within the cavity.

Clinical Summary

A 66-year-old man who underwent coronary artery bypass grafting and removal of thrombus from the apex of the left ventricle was readmitted to the hospital 7 months after the original operation complaining of a cystic swelling of sudden onset in the lower part of the sternotomy scar (Figure 1).


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Figure 1. Cystic swelling in the lower part of the sternotomy scar.

 
The swelling was 5 cm in diameter, cystic, and tender. There was no pulsation or redness.

The ultrasonographic report was suggestive of false aneurysmal dilatation of one . . . [Full Text of this Article]




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