Post-sternotomy mediastinitis following coronary bypass grafting treated by supra-sternal omental transfer without sternal closure.
Sternal infections and mediastinitis following coronary bypass grafting are rare, but the treatment for infection remains difficult and the mortality of these complications is reported high. We reviewed our experiences in treating two patients in whom post-sternotomy mediastinitis had developed after coronary bypass grafting. Sternal infections and mediastinitis were treated with debridement of the infected sternum, supra-sternal omental transfer with an open sternal technique, and a primary skin closure.
Otaki
M
M
Department of Cardiothoracic Surgery, Kinki University Hospital, Ohno-Higashi 377-2, Osaka-Sayama-shi,, Osaka 589, Japan.
Inoue
T
T
Matsumoto
T
T
Kitayama
H
H
Nakamoto
S
S
Iemura
J
J
Oka
H
H
Oku
H
H
D000368:Aged; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D006801:Humans; D008480:Mediastinitis / Q000139:chemically induced* / Q000628:therapy*; D009852:Omentum; D011183:Postoperative Complications; D013249:Sternum / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed