Vacuum-assisted closure for postcardiac surgery mediastinitis in a patient on hemodialysis.
A 66-year-old man on hemodialysis underwent off-pump coronary artery bypass grafting. He was discharged in good condition on postoperative day (POD) 16. A high-grade fever and a purulent discharge emerged on POD 30. Methicillin-resistant Staphylococcus aureus was identified by culturing material from the wound. On admission, vacuum-assisted closure (VAC) therapy was applied for 80 days. Finally, good wound healing allowed us to perform simple wound closure without using muscle flaps or omentoplasty. VAC therapy is a useful and safe procedure for postcardiac surgery mediastinitis.
Noji
Sakashi
S
Department of Cardiovascular Surgery, Higashiyamato Hospital, Tokyo 207-0014, Japan. noji-cvs@umin.ac.jp
Yuda
Atsushi
A
Tatebayashi
Takayuki
T
Kuroda
Masayoshi
M
D000368:Aged; D047549:Coronary Artery Bypass, Off-Pump; D003327:Coronary Disease / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D008480:Mediastinitis / Q000000981:diagnostic imaging / Q000601:surgery*; D055624:Methicillin-Resistant Staphylococcus aureus; D054843:Negative-Pressure Wound Therapy; D011859:Radiography; D006435:Renal Dialysis; D013203:Staphylococcal Infections / Q000601:surgery*; D013530:Surgical Wound Infection / Q000382:microbiology / Q000601:surgery*