[Vacuum-assisted Closure (VAC) Treatment for Sternal Infection in a Patient after Cardiovascular Surgery; Report of a Case].
One year ago, a 42-year-old woman underwent aortic root replacement because of a pseudoaneurysm that developed at the site of an anastomosis after ascending aortic replacement for acute aortic dissection. Six months later, she complained of fever and cough. A computed tomography revealed recurrence of the peudoaneurysm at the proximal anastomosis of the aortic root replacement. After emergency re-do aortic root replacement, she was admitted to intensive care unit (ICU) without sternal closure because of mediastinitis. The mediastinitis was managed by debridement and lavage drainage, followed by vacuum-assisted closure (VAC) treatment. The VAC treatment facilitated wound healing and active rehabilitation using a portable device. Finally, the wound was closed completely using a skin graft. VAC treatment is considered very useful in a case of post-sternotomy madiastinitis.
Department of Cardiovascular Surgery, Tsukuba Memorial Hospital, Tsukuba, Japan.
Shotaro
S
Shima
Kennichi
K
Okamura
Sei
S
Morizumi
Taro
T
Kanamori
Tetsuya
T
Ichihara
Mitsuhiro
M
Kawata
Yoshihiro
Y
Suematsu
D000208:Acute Disease; D000328:Adult; D000784:Aortic Dissection / Q000601:surgery; D017541:Aneurysm, False / Q000601:surgery; D001014:Aortic Aneurysm / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation; D003646:Debridement; D004322:Drainage; D005260:Female; D006801:Humans; D008480:Mediastinitis / Q000601:surgery*; D054843:Negative-Pressure Wound Therapy / Q000379:methods*; D011183:Postoperative Complications / Q000601:surgery*; D012008:Recurrence; D012086:Reoperation; D016038:Skin Transplantation; D056346:Sternotomy; D016896:Treatment Outcome