[Two case reports of recurrent mediastinitis with chronic mediastinal fistula successfully treated with muscle flap re-transposition].
We experienced two cases of recurrent poststernotomy mediastinitis with chronic mediastinal fistula. Both cases had already received muscle flaps for post operative mediastinitis. However, chronic mediastinal fistula appeared after nine months in the first case, and eleven months in the second case. We removed the infected tissue and the predgets, which were used on the ascending aorta. Then closed the wound by the muscle flap closure. The chronic fistula were closed, and the functional and cosmetic results were excellent.
Hashimoto
Y
Y
Department of Cardiovascular Surgery, Tachikawa General Hospital, Nagaoka, Japan.
Kanazawa
H
H
Kasuya
S
S
Irisawa
T
T
Ohzeki
H
H
Kuraoka
S
S
Goto
S
S
Sakashita
I
I
Takahashi
H
H
D005260:Female; D005402:Fistula / Q000150:complications / Q000601:surgery*; D006801:Humans; D008297:Male; D008477:Mediastinal Diseases / Q000150:complications / Q000601:surgery*; D008480:Mediastinitis / Q000150:complications / Q000601:surgery*; D008875:Middle Aged; D009132:Muscles / Q000637:transplantation*; D011183:Postoperative Complications / Q000601:surgery; D012008:Recurrence; D013249:Sternum / Q000601:surgery; D013524:Surgical Flaps