OBJECTIVE: Deep sternal wound infection (DSWI) is an uncommon but serious complication of open heart surgery being characterized by a high mortality rate and a considerable economic weight. Repair of sternal defects, compromised with infection, can be achieved in several ways. The aim of our study is to report our case load in the management of sternal wound infection. PATIENTS AND METHODS: In this study, we will report our twelve-year case load with bilateral pectoralis major advancement flap as the sole treatment modality for deep sternal wound infection. RESULTS: This surgical approach has given excellent results in terms of resolution of the infection of the sternum, with few complications and a good cosmetic result. CONCLUSIONS: We propose bilateral pectoralis major advancement flap as the first choice treatment for deep sternal wound infection.
OBJECTIVE: Deep sternal wound infection (DSWI) is an uncommon but serious complication of open heart surgery being characterized by a high mortality rate and a considerable economic weight. Repair of sternal defects, compromised with infection, can be achieved in several ways. The aim of our study is to report our case load in the management of sternal wound infection. PATIENTS AND METHODS: In this study, we will report our twelve-year case load with bilateral pectoralis major advancement flap as the sole treatment modality for deep sternal wound infection. RESULTS: This surgical approach has given excellent results in terms of resolution of the infection of the sternum, with few complications and a good cosmetic result. CONCLUSIONS: We propose bilateral pectoralis major advancement flap as the first choice treatment for deep sternal wound infection.
Authors: Federico Lo Torto; Ambra Monfrecola; Juste Kaciulyte; Pedro Ciudad; Donato Casella; Diego Ribuffo; Bruno Carlesimo Journal: Int Wound J Date: 2017-09-13 Impact factor: 3.315
Authors: Grazielle de Souza Horácio; Pedro Soler Coltro; Antonio Albacete; Juliano Baron Almeida; Vinícius Zolezi da Silva; Ivan de Rezende Almeida; Alfredo José Rodrigues; Jayme Adriano Farina Journal: Braz J Cardiovasc Surg Date: 2017 Sep-Oct