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(Chest. 1971;60:418-419.)
© 1971 American College of Chest Physicians

Perforation of the Aorta as a Complication of Mediastinal Sepsis

Ramanath P. Pai M.S.1 and Shiv R. Ullal M.S.2

1 Resident in Cardiothoracic Surgery
2 Department of Cardiovascular Surgery, Presbyterian Medical Center, San Francisco

An unusual form of perforation of the aorta following mediastinal infection is recorded. A fishbone parforation of the esophagus produced mediastinal absess and the local sepsis led to weakening and necrosis of the aortic wall with fatal secondary hemorrhage. This report stresses the need for urgent prophylactic therapy in patients who have swallowed a foreign body and especially with the onset of mediastinitis.






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Copyright © 1971 by the American College of Chest Physicians.