title: Sternal reentry in a patient with previous deep sternal wound infection managed with horizontal titanium plate fixation.
abstract: Redo open-heart surgery and sternal reentry in patients with previous deep sternal wound infection (DSWI) and absence of sternal integrity can be a delicate and morbid task due the lack of a dissection plane between the heart and the surrounding soft tissues. Delayed sternal reconstruction and osteosynthesis with horizontal titanium plating fixation (Synthes) following vacuum assisted therapy (KCI) has recently been proposed and adopted for the treatment of DSWI. We present such a case of a patient who was successfully reoperated for valve replacement three years after coronary artery bypass grafting complicated by DSWI and initially treated with titanium plate fixation.
authors.affiliation: Department of Cardiac Surgery, Laval University, Quebec, Canada. richard.baillot@chg.ulaval.ca
authors.forename: Richard
authors.initials: R
authors.lastname: Baillot
authors.forename: Eric
authors.initials: E
authors.lastname: Dumont
authors.forename: Pierre
authors.initials: P
authors.lastname: Voisine
mesh_terms: D000368:Aged; D001024:Aortic Valve Stenosis / Q000601:surgery*; D001672:Biocompatible Materials; D001860:Bone Plates; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D003324:Coronary Artery Disease / Q000601:surgery*; D003646:Debridement; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D054843:Negative-Pressure Wound Therapy; D012086:Reoperation; D013249:Sternum / Q000601:surgery*; D013524:Surgical Flaps; D013530:Surgical Wound Infection / Q000209:etiology / Q000601:surgery*; D014025:Titanium
chemical_list: D001672:Biocompatible Materials; D014025:Titanium