Surgical management of persistent mediastinitis after coronary bypass grafting.
Persistent mediastinitis despite primary revision, closed irrigation therapy, and additional secondary omental plasty is a life threatening situation in cardiac surgery. We managed this rare complication in one instance by sternectomy and hemirectus plasty as well as bilateral pectoralis plasty.
Eckstein
F S
FS
Department of Surgery, Eberhard-Karls-Universität, Tübingen, Germany.
Albes
J M
JM
Jurmann
M J
MJ
Scheule
A M
AM
Raygrotzki
S
S
Laniado
M
M
Ziemer
G
G
D000368:Aged; D002356:Cartilage / Q000601:surgery; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D005500:Follow-Up Studies; D006801:Humans; D007387:Internal Mammary-Coronary Artery Anastomosis; D008297:Male; D008480:Mediastinitis / Q000209:etiology / Q000382:microbiology / Q000601:surgery*; D009852:Omentum / Q000637:transplantation; D010369:Pectoralis Muscles / Q000637:transplantation; D017568:Rectus Abdominis / Q000637:transplantation; D012086:Reoperation; D012272:Ribs / Q000601:surgery; D012501:Saphenous Vein / Q000637:transplantation; D013203:Staphylococcal Infections / Q000601:surgery; D013249:Sternum / Q000601:surgery; D013524:Surgical Flaps / Q000379:methods; D013530:Surgical Wound Infection / Q000601:surgery; D007507:Therapeutic Irrigation; D013908:Thoracotomy