[HSF] Possible infected Freestyle

[Tea Acuff]

I don't recollect this exact senario, but with all the stuff we pack around incisions much that looks like pus may not be infected.
tea


----- Original Message ----
From: "tdmartin2000 at aol.com" <tdmartin2000 at aol.com>
To: OpenHeart-L at lists.hsforum.com
Sent: Tuesday, May 1, 2007 9:24:17 AM
Subject: Re: [HSF] Possible infected Freestyle


Just for discussion sake- has anyone ever heard of a "sterile " abscess where there are multiple wbc's but no bacteria? 

Tom Martin
U of Florida
Gainesville 

-----Original Message-----
From: Hgrmd at aol.com
To: OpenHeart-L at lists.hsforum.com
Sent: Tue, 1 May 2007 8:11 AM
Subject: Re: [HSF] Possible infected Freestyle


Ani,
  You are even more binary and concrete than yours truly!!   Though I'm the 
first to profess that I'm not an aortic expert, I have seen and  read of 
instances where conservative therapy has worked well for mediastinal  infections 
in 
the presence of aortic grafts.  Coselli and others have  written for years 
about treating some of these cases with omentum and life long  antibiotics. As 
long as the patient is closely watched, the risk of waiting is  not that great.  

Also, exchanging a Free Style for a homograft in an 80 yo  by a new surgeon 
carries a hell of a lot of risk no matter how you slice  it.
Hal



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