Major cardiac rupture following surgical treatment for deep sternal wound infection.
We report a case of an 80-year old male patient who sustained a major rupture of the right ventricle after surgical revision of an infected sternotomy wound following coronary artery bypass surgery. The rupture of the right ventricle occurred despite an early wound debridement and the use of negative pressure wound therapy on the sternum that did not provide sufficient stability to the sternum after the sternal wires were removed. The rupture resulted in a major bleeding but by establishing emergent cardiopulmonary bypass, the patient was saved.
Department of Cardiothoracic Surgery, Landspitali University Hospital, Reykjavik, Iceland.
David T
DT
Thorsteinsson
Felix
F
Valsson
Arnar
A
Geirsson
Tomas
T
Gudbjartsson
D000369:Aged, 80 and over; D001804:Blood Transfusion, Autologous; D002315:Cardiopulmonary Bypass; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D003646:Debridement / Q000009:adverse effects*; D017707:Erythrocyte Transfusion; D006335:Heart Injuries / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006352:Heart Ventricles / Q000293:injuries; D006489:Hemostatic Techniques; D006801:Humans; D008297:Male; D054843:Negative-Pressure Wound Therapy / Q000009:adverse effects*; D057725:Operative Blood Salvage; D012086:Reoperation; D016868:Serratia Infections / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D056346:Sternotomy / Q000009:adverse effects*; D013530:Surgical Wound Infection / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D016896:Treatment Outcome