[A successful case report of mediastinitis after coronary bypass surgery treated with total excision of the sternum and omental transposition].
A 61-year-old male case, who was complicated with mediastinitis after coronary bypass surgery with left internal mammary artery, was reported. He was treated with open packing of gauze saturated with povidone iodine solution for 17 days, and thereafter pedicle transposition of great omentum with total excision of the sternum as a second procedure, was performed. His postoperative course was uneventful without any respiratory complication. From this experience, we concluded that omentum was very effective strategy in management of mediastinal infection following cardiac surgery.
Tsutsumi
Y
Y
Department of Cardiovascular Surgery, Fukui Cardiovascular Center, Japan.
Ohnaka
M
M
Ohashi
H
H
Murakami
A
A
Tedoriya
T
T
Tanaka
T
T
D001026:Coronary Artery Bypass; D006801:Humans; D008297:Male; D008480:Mediastinitis / Q000601:surgery*; D008875:Middle Aged; D009852:Omentum / Q000637:transplantation*; D011183:Postoperative Complications / Q000601:surgery*; D013249:Sternum / Q000601:surgery*; D013524:Surgical Flaps