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Published in: Journal of Cardiothoracic Surgery 1/2011

Open Access 01-12-2011 | Case report

Cardiac Reoperation in a patient who previously underwent omentoplasty for postoperative mediastinitis: a case report

Authors: Mehmet S Bilal, Onur Gürer, Ahmet Kırbaş, Yahya Yıldız, Ahmet Çelebi

Published in: Journal of Cardiothoracic Surgery | Issue 1/2011

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Abstract

Sternal infection has become a rare but challenging problem with significant mortality and morbidity rates since the introduction of sternotomy. Reported rates of mediastinal and sternal infection range from 0.4% to 5%. The ideal reconstruction after sternal debridement is still controversial. Different methods, such as debridement and open packing with continuous antibiotic irrigation, or sternectomy with omental or muscle transposition have been proposed. In this study, we present the cardiac reoperation of a 52 year old man with corrected transposition of great arteries (c-TGA) who had undergone a previous omentoplasty for postoperative mediastinitis.
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Literature
1.
go back to reference Bryant LR, Spencer FC, Trinkle JK: Treatment of median sternotomy infection by mediastinal irrigation with an antibiotic solution. Ann Surg. 1969, 169: 914-20. 10.1097/00000658-196906000-00011.CrossRefPubMedPubMedCentral Bryant LR, Spencer FC, Trinkle JK: Treatment of median sternotomy infection by mediastinal irrigation with an antibiotic solution. Ann Surg. 1969, 169: 914-20. 10.1097/00000658-196906000-00011.CrossRefPubMedPubMedCentral
2.
go back to reference Blanchard A, Hurni M, Ruchat P, Stumpe F, Fischer A, Sadeghi H: Incidence of deep and superficial sternal infection after open heart surgery. A ten years retrospective study from 1981 to 1991. Eur J Cardiothorac Surg. 1995, 9: 153-7. 10.1016/S1010-7940(05)80064-8.CrossRefPubMed Blanchard A, Hurni M, Ruchat P, Stumpe F, Fischer A, Sadeghi H: Incidence of deep and superficial sternal infection after open heart surgery. A ten years retrospective study from 1981 to 1991. Eur J Cardiothorac Surg. 1995, 9: 153-7. 10.1016/S1010-7940(05)80064-8.CrossRefPubMed
3.
go back to reference Loop FD, Lytle BW, Cosgrove DM, Mahfood S, McHenry MC, Goormastic M: J. Maxwell Chamberlain memorial paper. Sternal wound complications after isolated coronary artery bypass grafting: early and late mortality, morbidity, and cost of care. Ann Thorac Surg. 1990, 49: 179-86. 10.1016/0003-4975(90)90136-T. discussion 186-7CrossRefPubMed Loop FD, Lytle BW, Cosgrove DM, Mahfood S, McHenry MC, Goormastic M: J. Maxwell Chamberlain memorial paper. Sternal wound complications after isolated coronary artery bypass grafting: early and late mortality, morbidity, and cost of care. Ann Thorac Surg. 1990, 49: 179-86. 10.1016/0003-4975(90)90136-T. discussion 186-7CrossRefPubMed
4.
go back to reference Shumacker HB, Mandelbaum I: Continuous antibiotic irrigation in the treatment of infection. Arch Surg. 1963, 86: 384-7.CrossRefPubMed Shumacker HB, Mandelbaum I: Continuous antibiotic irrigation in the treatment of infection. Arch Surg. 1963, 86: 384-7.CrossRefPubMed
5.
go back to reference Lee AB, Schimert G, Shaktin S, Seigel JH: Total excision of the sternum and thoracic pedicle transposition of the greater omentum; useful strategems in managing severe mediastinal infection following open heart surgery. Surgery. 1976, 80: 433-6.PubMed Lee AB, Schimert G, Shaktin S, Seigel JH: Total excision of the sternum and thoracic pedicle transposition of the greater omentum; useful strategems in managing severe mediastinal infection following open heart surgery. Surgery. 1976, 80: 433-6.PubMed
6.
go back to reference Jurkiewicz MJ, Bostwick J, Hester TR, Bishop JB, Craver J: Infected median sternotomy wound. Successful treatment by muscle flaps. Ann Surg. 1980, 191: 738-44. 10.1097/00000658-198006000-00012.CrossRefPubMedPubMedCentral Jurkiewicz MJ, Bostwick J, Hester TR, Bishop JB, Craver J: Infected median sternotomy wound. Successful treatment by muscle flaps. Ann Surg. 1980, 191: 738-44. 10.1097/00000658-198006000-00012.CrossRefPubMedPubMedCentral
7.
go back to reference Banic A, Ris HB, Erni D, Striffeler H: Free latissimus dorsi flap for chest wall repair after complete resection of infected sternum. Ann Thorac Surg. 1995, 60: 1028-32. 10.1016/0003-4975(95)00428-N.CrossRefPubMed Banic A, Ris HB, Erni D, Striffeler H: Free latissimus dorsi flap for chest wall repair after complete resection of infected sternum. Ann Thorac Surg. 1995, 60: 1028-32. 10.1016/0003-4975(95)00428-N.CrossRefPubMed
8.
go back to reference Yoshida K, Ohshima H, Murakami F, Tomida Y, Matsuura A, Hibi M: Omental transfer as a method of preventing residual persistent subcutaneous infection after mediastinitis. Ann Thorac Surg. 1997, 63: 858-9. 10.1016/S0003-4975(96)01122-8. discussion 859-60CrossRefPubMed Yoshida K, Ohshima H, Murakami F, Tomida Y, Matsuura A, Hibi M: Omental transfer as a method of preventing residual persistent subcutaneous infection after mediastinitis. Ann Thorac Surg. 1997, 63: 858-9. 10.1016/S0003-4975(96)01122-8. discussion 859-60CrossRefPubMed
9.
go back to reference Francel TJ, Kouchoukos NT: A rational approach to wound difficulties after sternotomy: reconstruction and long-term results. Ann Thorac Surg. 2001, 72: 1419-29. 10.1016/S0003-4975(00)02009-9.CrossRefPubMed Francel TJ, Kouchoukos NT: A rational approach to wound difficulties after sternotomy: reconstruction and long-term results. Ann Thorac Surg. 2001, 72: 1419-29. 10.1016/S0003-4975(00)02009-9.CrossRefPubMed
10.
go back to reference Jones G, Jurkiewicz MJ, Bostwick J, Wood R, Bried JT, Culbertson J: Management of the infected median sternotomy wound with muscle flaps. The Emory 20-year experience. Ann Surg. 1997, 225: 766-76. 10.1097/00000658-199706000-00014. discussion 776-8CrossRefPubMedPubMedCentral Jones G, Jurkiewicz MJ, Bostwick J, Wood R, Bried JT, Culbertson J: Management of the infected median sternotomy wound with muscle flaps. The Emory 20-year experience. Ann Surg. 1997, 225: 766-76. 10.1097/00000658-199706000-00014. discussion 776-8CrossRefPubMedPubMedCentral
11.
go back to reference Castedo E, Canas A, Varela A, Ugarte J: Does omentoplasty preclude cardiac retransplantation?. Chest. 2001, 120: 1425-6. 10.1378/chest.120.4.1425.CrossRefPubMed Castedo E, Canas A, Varela A, Ugarte J: Does omentoplasty preclude cardiac retransplantation?. Chest. 2001, 120: 1425-6. 10.1378/chest.120.4.1425.CrossRefPubMed
Metadata
Title
Cardiac Reoperation in a patient who previously underwent omentoplasty for postoperative mediastinitis: a case report
Authors
Mehmet S Bilal
Onur Gürer
Ahmet Kırbaş
Yahya Yıldız
Ahmet Çelebi
Publication date
01-12-2011
Publisher
BioMed Central
Published in
Journal of Cardiothoracic Surgery / Issue 1/2011
Electronic ISSN: 1749-8090
DOI
https://doi.org/10.1186/1749-8090-6-35

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