title: The omental flap with skin grafting for treatment of a difficult sternal closure.
abstract: A case report of difficult sternal closure is described. Chest closure following cardiac operation in critically ill patients can be a problem. Techniques have been described so that sternal closure can be delayed until the patient is hemodynamically stable and hemostasis has been achieved. However, in some instances, the sternal closure can not be performed because of prolonged cardiopulmonary instability. We describe the use of transposition of an omental flap with skin grafting in a 74-year-old patient with aortic valve stenosis, poor pulmonary function, and a thoracic deformity. This technique enabled incomplete sternal closure which maintained hemodynamic stability.
authors.affiliation: Department of Thoracic Surgery, Nagoya University School of Medicine, Japan.
authors.forename: K
authors.initials: K
authors.lastname: Yasuura
authors.forename: H
authors.initials: H
authors.lastname: Watanabe
authors.forename: A
authors.initials: A
authors.lastname: Matsuura
authors.forename: T
authors.initials: T
authors.lastname: Ichihara
authors.forename: T
authors.initials: T
authors.lastname: Maseki
authors.forename: T
authors.initials: T
authors.lastname: Watanabe
authors.forename: S
authors.initials: S
authors.lastname: Torii
authors.forename: M
authors.initials: M
authors.lastname: Murase
mesh_terms: D000368:Aged; D001024:Aortic Valve Stenosis / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D006439:Hemodynamics; D006801:Humans; D008173:Lung Diseases, Obstructive / Q000150:complications; D009852:Omentum / Q000637:transplantation*; D013902:Radiography, Thoracic; D013524:Surgical Flaps / Q000379:methods*; D013909:Thorax / Q000002:abnormalities*; D014057:Tomography, X-Ray Computed