title: [Myoplasty by reversal of the pectoris major muscle in the treatment of mediastinitis. A case report and review of the literature].
abstract: Mediastinitis are among the most dreadful infectious complications following cardiac surgery. Their prognosis depends essentially on the precociousness of the diagnosis. In most of the cases, the medical treatment associated with an irrigation drainage is sufficient. But in case of severe sternal dehiscence, plastic surgery becomes necessary in order to fill up the loss with a well-vascularized tissue. We report the case of a 78-year-old patient, chronic bronchitic who presented, after a coronary artery bypass, an aseptic sternal dehiscence necessitating an osteosynthesis, then a Klebsiella pneumoniae mediastinitis with an enlarged sternal necrosis which was treated by bone resection and a myoplasty via reversal of the right pectoris major muscle. The postsurgery course was favourable. Now, after one-year remote, cicatrisation is complete and we have not noticed any infectious recurrence.
authors.affiliation: Service de chirurgie cardiovasculaire et thoracique, CHU Habib Bourguiba, Sfax, Tunisie. bjhela@yahoo.fr
authors.forename: H
authors.initials: H
authors.lastname: Ben Jmaà
authors.forename: A
authors.initials: A
authors.lastname: Hadj Kacem
authors.forename: M
authors.initials: M
authors.lastname: Abdennadher
authors.forename: S
authors.initials: S
authors.lastname: Masmoudi
authors.forename: H
authors.initials: H
authors.lastname: Cheikhrouhou
authors.forename: I
authors.initials: I
authors.lastname: Mâaloul
authors.forename: A
authors.initials: A
authors.lastname: Karoui
authors.forename: M
authors.initials: M
authors.lastname: Ben Jmaà
authors.forename: I
authors.initials: I
authors.lastname: Frikha
mesh_terms: D000368:Aged; D001026:Coronary Artery Bypass; D005593:Fracture Fixation, Internal; D006801:Humans; D007710:Klebsiella Infections / Q000601:surgery; D007711:Klebsiella pneumoniae; D008297:Male; D008480:Mediastinitis / Q000175:diagnosis / Q000601:surgery*; D010369:Pectoralis Muscles / Q000601:surgery*; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D012086:Reoperation; D056346:Sternotomy; D013249:Sternum / Q000293:injuries; D013524:Surgical Flaps / Q000601:surgery*; D013530:Surgical Wound Infection / Q000601:surgery; D014057:Tomography, X-Ray Computed