title: [Value of pedicled myoplasty in the treatment of severe mediastinitis. A case report].
abstract: Sternotomy is the approach of choice for cardiac surgery. Mediastinitis is a rare complication of median sternotomy with high morbidity and mortality. We describe a case of severe mediastinitis occurring after median sternotomy performed in a patient presenting diving goiter. Two-stage irrigation/drainage was unsuccessful. This failure led to opening of the chest and coverage with a pediculated flap using the grand pectoralis muscle. This stratagem allowed complete healing. This case provides an opportunity to discuss the different surgical techniques used to treat severe mediastinitis and to emphasize the value of muscle flaps in the management of recalcitrant median sternotomy wounds.
authors.affiliation: Service de Chirurgie, Hôpital Général de Yaoundé, Cameroun.
authors.forename: J J
authors.initials: JJ
authors.lastname: Pagbe
authors.forename: G
authors.initials: G
authors.lastname: Andze
authors.forename: J F
authors.initials: JF
authors.lastname: Guimbous
authors.forename: T
authors.initials: T
authors.lastname: Edzoa
mesh_terms: D004322:Drainage / Q000379:methods; D005260:Female; D006045:Goiter, Substernal / Q000601:surgery*; D006801:Humans; D008480:Mediastinitis / Q000209:etiology / Q000601:surgery*; D008875:Middle Aged; D010369:Pectoralis Muscles / Q000637:transplantation; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery*; D012720:Severity of Illness Index; D013524:Surgical Flaps / Q000379:methods*; D007507:Therapeutic Irrigation / Q000379:methods; D017211:Treatment Failure; D014945:Wound Healing
vernacular_title: Intérêt de la myoplastie pediculée dans le traitement des médiastinites graves. A propos d'un cas.