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

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. Diffe...

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Bibliographic Details
Published in:Journal of cardiothoracic surgery 2011-03, Vol.6 (1), p.35-35, Article 35
Main Authors: Bilal, Mehmet S, Gürer, Onur, Kırbaş, Ahmet, Yıldız, Yahya, Celebi, Ahmet
Format: Article
Language:English
Subjects:
Anastomosis
Cardiac Surgical Procedures - methods
Care and treatment
Case Report
Case studies
Diagnosis
Echocardiography
Health aspects
Humans
Male
Mediastinal tumors
Mediastinitis - complications
Mediastinitis - diagnosis
Mediastinitis - surgery
Middle Aged
Omentum - transplantation
Patient outcomes
Reoperation - methods
Risk factors
Surgical anastomosis
Transposition of Great Vessels - complications
Transposition of Great Vessels - diagnosis
Transposition of Great Vessels - surgery
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Summary: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.
ISSN:1749-8090
1749-8090
DOI:10.1186/1749-8090-6-35