IJCS | Volume 31, Nº2, March / April 2018

171 5. Sá MP, Silva DO, Lima EN, Lima Rde C, Silva FP, Rueda FG, et al . Postoperative mediastinitis in cardiovascular surgery: analysis of 1038 consecutive surgeries. Rev Bras Cir Cardiovasc. 2010;25(1):19-24. doi: http://dx.doi.org/10.1590/S0102-76382010000100008. 6. Magedanz EH, Bodanese LC, Guaragna, JC, Albuquerque LC, Martins V, Minossi SD, et al. Risk score elaboration for mediastinitis after coronary artery bypass grafting. Rev Bras Cir Cardiovasc. 2010;25(2):154-9. doi: http://dx.doi.org/10.1590/S0102-76382010000200005. 7. Dorneles CC, Bodanese LC, Guaragna JC, Magnan FE, Coelho JC, Borges AP, et al. The impact of blood transfusion on morbidity and mortality after cardiac surgery. Rev Bras Cir Cardiovasc. 2011;26(2):222-9. doi: http://dx.doi.org/10.1590/S0102-76382011000200012. 8. GuaragnaJC,FacchiLM,BaiãoCG,CruzIB,BonadeseLC,AlbuquerqueL,et al. Predictors of mediastinitis after cardiac surgery. Rev Bras Cir Cardiovasc 2004;19(2):165-70.doi :http://dx.doi.org/10.1590/S0102-76382004000200011. 9. Colombier S, Kessler U, Ferrari E, von Segesser LK, Berdajs DA. Influence of deep sternal wound infection on long-term survival after cardiac surgery. Med Sci Monit. 2013;19:668-73. doi: 10.12659/MSM.889191. 10. Gelape CL. Surgical wound infection following heart surgery. Arq Bras Cardiol. 2007;89(1):e3-9. doi: http://dx.doi.org/10.1590/S0066- 782X2007001300013. 11. Eagle KA, Guyton RA, Davidoff R, Ewy GA, Fonger J, Gardner TJ, et al. ACC/AHA Guidelines for Coronary Artery bypass Graft Surgery: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Revise the 1991 Guidelines for Coronary Artery Bypass Graft Surgery). American College of Cardiology/American Heart Association. J Am Coll Cardiol. 1999;34(4):1262-347. PMID: 10520819. 12. Braxton JH, Marrin CA, McGrath PD, Ross CS, Morton JR, Norotsky M, et al; Northern New England Cardiovascular Disease Study Group. Mediastinitis and long-term survival after coronary artery bypass graft surgery. Ann Thorac Surg. 2000;70(6):2004-7. PMID: 11156110. 13. Tarelli G, Maugeri R, Pedretti R, Grossi C, Ornaghi D, Sala A. [The use of bilateral mammary artery in miocardial revascularization. The risk factors emergent fromamultivariate analysis conducted on 474 patients]. G. Ital Cardiol. 1998;28(11):230-7. PMID: 9866800. 14. El Oakley RM, Wright JE. Postoperative mediastinitis: classification and management. Ann Thorac Surg. 1996;61(3):1030-6. doi: 10.1016/0003- 4975(95)01035-1. 15. CoelhoRP.Mediastinitepós-cirurgiacardíacaempacientesoperadosnaSanta Casa de Belo Horizonte de 2005 a 2007. [Dissertação]. Instituto de Ensino e Pesquisa da Santa Casa de Belo Horizonte, Belo Horizonte (MG); 2009. 16. TiveronMG, Fiorelli AI, Mota EM, Mejia OAV, Brandão CM, Dallan LA, et al. Preoperative risk factors for mediastinitis after cardiac surgery: analysis of 2768 patients. Rev Bras Cir Cardiovasc. 2012;27(2):303-10. doi: http://dx.doi.org/10.5935/1678-9741.20120035. 17. Ariyaratnam P, Bland M, Loubani M. Risk factors and mortality associated with deep sternal wound infections following coronary bypass surgery with or without concomitant procedures in a UK population: a basis for a new risk model? Interact Cardiovasc Thorac Surg. 2010;11(5):543-6. doi: 10.1510/icvts.2010.237883. 18. Grossi EA, Esposito R, Harris LJ, Crooke GA, Galloway AC, Colvin SB, et al. Sternal wound infections and use of internal mammary artery grafts. J Thorac Cardiovasc Surg. 1991;102(3):342-6. PMID: 1881174. 19. Seyfer AE, Shriver CD, Miller TR, Graeber GM. Sternal blood flow after median sternotomy and mobilization of the internal mammary arteries. Surgery. 1988;104(5):899-904. PMID: 3187903. 20. Silva QC, Canini SR, Silveira RC, Dessotte CA, Campos FR. Risk factors for mediastinitis after coronary artery bypass grafting surgery: an integrative review. REME - Rev Min Enferm. 2015;19(4):1015-22. doi: http://www.dx.doi.org/10.5935/1415-2762.20150076. 21. Oliveira EM, Paula JB. Fatores associados à infecção de sítio cirúrgico em pacientes idosos submetidos à cirurgia cardíaca com esternotomia. Saúde (Santa Maria - RS). 2014;40(1):37-44. 22. Sampaio DT, Alves JC, Silva AF, Lobo Jr NC, Simões D, Faria W, et al. Mediastinitis after cardiac surgery: treatment using omental flap. Braz J Cardiovasc Surg. 2000;15(1):23-31. doi: http://dx.doi.org/10.1590/ S0102-76382000000100004. 23. Ascione R, Angelini GD. Is obesity still a risk factor for patients undergoing coronary surgery? Ital Heart J. 2003;4(12):824-8. PMID: 14976845. 24. Lin M, Pan S, Wang J, Hsu R, Wu FL, Chen Y, et al. Prospective randomized study of efficacy of 1-day versus 3-day antibiotic prophylaxis for preventing surgical site infection after coronary artery bypass graft. J Formos Med Assoc. 2011;110(10):619-26. doi: 10.1016/j.jfma.2011.08.003. 25. van Wingerden JJ, Lapid O, Boonstra PW, de Molc BA. Muscle flaps or omental flap in themanagement of deep sternal wound infection. Interact CardiovascThorac Surg. 2011;13(2):179-88. doi: 10.1510/icvts.2011.270652. 26. Grauhan O, Navasardyan A, Hofmann M, Müller P, Hummel M, Hetzer R. Cyanoacrylate-sealed Donati suture for wound closure after cardiac surgery in obese patients. Interact Cardiovasc Thorac Surg. 2010;11(6):763-7. doi: 10.1510/icvts.2010.247965. 27. DiezC,KochD,KussO,SilberRE,FriedrichI,BoergermannJ.Riskfactorsfor mediastinitisaftercardiacsurgery-aretrospectiveanalysisof1700patients. J Cardiothorac Surg. 2007 May 20;2:23-8. doi: 10.1186/1749-8090-2-23. 28. Ennker IC, Malkoc A, Pietrowski D, Vogt PM, Ennker J, Albert A. The concept of negative pressure wound therapy (NPWT) after poststernotomymediastinitis - a single center experiencewith 54 patients. J Cardiothorac Surg. 2009 Jan 12;4:5. doi: 10.1186/1749-8090-4-5. 29. ParisianMediastinitis Study Group. Risk factors for deep sternal wound infection after sternotomy: a prospective, multicenter study. J Thorac Cardiovasc Surg. 1996;111(6):1200-7. PMID: 8642821. 30. Ledur P, Almeida L, Pellanda LC, Schaan BD. Predictors of infection in post-coronary artery by-pass graft surgery. Rev Bras Cir Cardiovasc. 2011;26(2):190-6.doi :http://dx.doi.org/10.1590/S0102-76382011000200008. 31. Campos YA. A circulação extracorpórea como fator predisponente da infecção hospitalar. Rio de Janeiro: Hospital Santa Tereza de Petrópolis (Cirurgia Cardíaca); 2006. 32. Almeida AR, GuedesMV. Nature, classification and nursing interventios for patients with mediastinitis. Rev Bras Enferm. 2008;61(4):470-5. doi: http://dx.doi.org/10.1590/S0034-71672008000400012. 33. Sjögren J, Malmsjö M, Gustafsson R, Ingemansson R. Poststernotomy mediastinitis: a review of conventional surgical treatments, vacuum- assisted closure therapy and presentation of the Lund University Hospital mediastinitis algorithm. Eur J Cardiothorac Surg. 2006;30(6):898- 905. doi: 10.1016/j.ejcts.2006.09.020. 34. Marques RL, Arnoni AS, Dinkhuysen JJ, AbdulmassihNeto C, Souza LC, Paulista PP. Management of sternum dehiscence in the postoperative period after cardiac surgery. Rev Bras Cir Cardiovasc. 1990;5(2):125-36. doi: http://dx.doi.org/10.1590/S0102-76381990000200009. 35. Santos FC, Carvalho EL, Miaello PC, Santos DF, Neto AT, Paulista PP. Mediastinite [revisão]. Rev Fac Ciênc Méd Sorocaba. 2007;9(2):6-9. 36. GibMC, Alvarez JS, Wender OC. Mediastinitis: mortality rate comparing single-stage surgical approach and preconditioning of wound. Rev Bras Cir Cardiovasc. 2013;28(2):200-7. doi: http://dx.doi.org/10.5935/1678- 9741.20130029. 37. Charbonneau H, Maillet JM, Faron M, Mangin O, Puymirat E, Le Besnerais P, et al. Mediastinitis due to Gram-negative bacteria is associatedwith increasedmortality. ClinMicrobiol Infect. 2014;20(3):197- 202. doi: 10.1111/1469-0691.12369. 38. Melo CB, Sarmento PA, Imaeda CJ, Daud DF, Hasimoto FN, Leão LE. Descending necrotizing mediastinitis: minimally invasive thoracic surgical treatment. J Bras Pneumol. 2010;36(6):812-8. doi: http://dx.doi. org/10.1590/S1806-37132010000600019. 39. Sampaio DT, Alves JCR, Silva AF, Lobo Jr NC, Simões D, Faria W, et al. Mediastinitis after cardiac surgery: treatment using omental flap. Braz J Cardiovasc Surg. 2000;15(1):23-31.doi: http://dx.doi.org/10.1590/ S0102-76382000000100004. Pinto et al. Factors Associated with Post-Sternotomy Mediastinitis Int J Cardiovasc Sci. 2018;31(2)163-172 Original Article