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Eur J Cardiothorac Surg 2005;27:707-708
© 2005 Elsevier Science NL

Images in cardio-thoracic surgery

Editorial comment

Bauernschmitt et al. "Pitfall in the computed-tomography-diagnosis of postcardiotomy infection: iodine accumulation after irrigation mimicking retrosternal abscess"

^a Department of Cardio-vascular Surgery, Centre Hospitalier Universitaire Vaudois, Rue du Bugnon 46, CH-1011 Lausanne, Switzerland
^b Department of Radiology, Centre Hospitalier Universitaire Vaudois, CH-1011 Lausanne, Switzerland

^* Corresponding author. Tel.: +41 21 314 26 95; fax: +41 21 314 22 79. (E-mail: vassiliosargitis@hotmail.com). (URL: http://www.cardiovasc.net).

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

Bauernschmitt and colleagues [1] present an interesting experience, which been underreported until now. As a matter of fact there are numerous reports of mediastinal irrigation with iodine solution for mediastinitis [2–5]. Everybody knows that many contrast media used for angiography or computed tomography are based on water-soluble iodinated solutions.

The authors have to be congratulated for pointing out that post-operative mediastinal irrigation with an iodinated solution must be readily differentiated from an anterior mediastinal infection.

We have looked at this problem in systematic fashion by analyzing CT findings based on various concentrations of iodine solutions, as they are typically used for mediastinal . . . [Full Text of this Article]