title: [Two case reports of recurrent mediastinitis with chronic mediastinal fistula successfully treated with muscle flap re-transposition].
abstract: 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.
authors.affiliation: Department of Cardiovascular Surgery, Tachikawa General Hospital, Nagaoka, Japan.
authors.forename: Y
authors.initials: Y
authors.lastname: Hashimoto
authors.forename: H
authors.initials: H
authors.lastname: Kanazawa
authors.forename: S
authors.initials: S
authors.lastname: Kasuya
authors.forename: T
authors.initials: T
authors.lastname: Irisawa
authors.forename: H
authors.initials: H
authors.lastname: Ohzeki
authors.forename: S
authors.initials: S
authors.lastname: Kuraoka
authors.forename: S
authors.initials: S
authors.lastname: Goto
authors.forename: I
authors.initials: I
authors.lastname: Sakashita
authors.forename: H
authors.initials: H
authors.lastname: Takahashi
mesh_terms: 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