Intercostal muscle flap reconstruction and primary sternal closure for mediastinal abscess.
Poststernotomy mediastinal abscess is a life-threatening complication after cardiac operations. A 21-year-old woman had a late presentation of mediastinal abscess 9 years after ascending aortic graft replacement. Three days after the initial débridement and vacuum-assisted closure treatment, successful reconstruction was performed using an intercostal muscle flap and primary sternal closure, without recurrent infection.
Division of Craniofacial, Microvascular, Hand & General Reconstructive Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA. kiehn@surgery.wisc.edu
Mark W
MW
Kiehn
W Wesley
WW
Heckman
Satoru
S
Osaki
Takushi
T
Kohmoto
D000038:Abscess / Q000209:etiology / Q000601:surgery*; D000328:Adult; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007366:Intercostal Muscles / Q000637:transplantation*; D008477:Mediastinal Diseases / Q000209:etiology / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods; D013249:Sternum / Q000503:physiopathology / Q000601:surgery; D013524:Surgical Flaps; D013908:Thoracotomy / Q000009:adverse effects* / Q000379:methods; D014945:Wound Healing / Q000502:physiology