title: [A case report of the pectoralis major muscle flap in the successful management of severe mediastinal infection].
abstract: A severe, post-mediansternotomy, mediastinitis was treated with pectoral muscle flap method. About 10 days after CABG this patient had purulent discharge, high fever, and unstable sternum. Under a diagnosis of mediastinitis, wound irrigation and systemic administration with antibiotics began, but these managements were ineffective. Therefore, we closed the chest primarily by the pectoral muscle flap method. Successful primary closure of the chest was accomplished.
authors.affiliation: Division of Cardiac Surgery, Sakakibara Heart Institute.
authors.forename: S
authors.initials: S
authors.lastname: Sai
authors.forename: H
authors.initials: H
authors.lastname: Nakano
authors.forename: T
authors.initials: T
authors.lastname: Ida
authors.forename: T
authors.initials: T
authors.lastname: Kikuchi
authors.forename: E
authors.initials: E
authors.lastname: Mannouji
authors.forename: Y
authors.initials: Y
authors.lastname: Takahashi
authors.forename: K
authors.initials: K
authors.lastname: Horiba
authors.forename: K
authors.initials: K
authors.lastname: Tatsuno
authors.forename: M
authors.initials: M
authors.lastname: Kawase
authors.forename: T
authors.initials: T
authors.lastname: Sakakibara
mesh_terms: D000368:Aged; D001026:Coronary Artery Bypass; D006801:Humans; D008297:Male; D008480:Mediastinitis / Q000601:surgery*; D010369:Pectoralis Muscles / Q000637:transplantation*; D011183:Postoperative Complications / Q000601:surgery; D013524:Surgical Flaps