ArticleJournal of medical ultrasonics (2001)2020
Comparison of sonographic findings between pediatric patients with mediastinitis and without mediastinitis after cardiovascular surgery.
Article in Journal of medical ultrasonics (2001), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 8 citations in OpenAlex.
- Ultrasound findings of unplanned extraction of tunneled central venous catheters due to complications within subcutaneous tissue.Journal of medical ultrasonics (2001) · 2025Article
- Initial ultrasound evaluation of an anterior mediastinal mass ultimately diagnosed as T-cell acute lymphoblastic leukemia: a report of three cases in children.Radiology case reports · 2022Article
- Comparison of the Balthazar score of acute pancreatitis between computed tomography and ultrasound in children: pitfalls of ultrasound in diagnosing and evaluating pancreatitis.Journal of medical ultrasonics (2001) · 2021Article
- Extracardiac Complications in Intensive Care Units after Surgical Repair for Congenital Heart Disease: Imaging Review with a Focus on Ultrasound and Radiography.Journal of pediatric intensive care · 2021Review
- Role of ultrasound in follow-up after choledochal cyst surgery.Journal of medical ultrasonics (2001) · 2021Review
- Mediastinitis in pediatric cardiac surgery: an unusual complication. A single-center experience.Archivos peruanos de cardiologia y cirugia cardiovascularArticle
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo compare the sonographic findings between pediatric patients with/without mediastinitis after cardiovascular surgery.
methodsWe included 18 pediatric patients with suspected mediastinitis after cardiovascular surgery who underwent ultrasound. They were divided into two groups according to the presence of mediastinitis, confirmed by positive bacterial culture from the mediastinum (number with/without mediastinitis = 5/13). The following sonographic findings were compared between the groups: (1) increased parasternal fat echogenicity and (2) retrosternal mediastinal fluid collection. Additionally, sex, age, and the interval between surgery and ultrasound examination were also compared. Fisher's exact and Mann-Whitney U tests were used for statistical comparisons.
resultsA significant difference was observed between patients with and without mediastinitis in the presence of increased fat echogenicity around the sternum (present/absent with mediastinitis vs. present/absent without mediastinitis: 5/0 vs. 3/10, respectively; P = 0.007) and retrosternal mediastinal fluid collection (5/0 vs. 2/11, respectively; P = 0.002). There was no significant difference in sex (male/female; 3/2 vs. 6/7; P > 0.999); age (months; 12.6 ± 9.4 (range, 1-22) vs. 6.9 ± 5.4 (range, 1-21); P = 0.336); and interval between surgery and ultrasound examination (days; 12.8 ± 7.2 (range, 6-20) vs. 19.1 ± 14.9 (range, 1-45); P = 0.443).
conclusionAlthough our cohort was small, none of the patients without increased parasternal fat echogenicity or mediastinal fluid collection was diagnosed with mediastinitis. These sonographic findings may help identify the possible presence of mediastinitis. Ultrasound may be the modality of first choice to evaluate pediatric patients for mediastinitis after cardiovascular surgery.
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