Omental Flap for Recurrent Deep Sternal Wound Infection and Mediastinitis after Cardiac Surgery

2007 ◽  
Vol 55 (6) ◽  
pp. 371-374 ◽  
Author(s):  
S. Eifert ◽  
S. Kronschnabl ◽  
I. Kaczmarek ◽  
B. Reichart ◽  
C. Vicol
Keyword(s):  
Cardiac Surgery ◽  
Wound Infection ◽  
Omental Flap ◽  
Deep Sternal Wound Infection ◽  
Sternal Wound Infection

Anterior Mediastinal Herniation of the Transverse Colon after an Omental Flap Transposition

2007 ◽  
Vol 73 (4) ◽  
pp. 367-370 ◽  
Author(s):  
Ari Halldorsson ◽  
Gary Meyerrose ◽  
John Griswold
Keyword(s):  
Cardiac Surgery ◽  
Wound Infection ◽  
Transverse Colon ◽  
Anterior Mediastinum ◽  
Colon Resection ◽  
Omental Flap ◽  
Deep Sternal Wound Infection ◽  
Sternal Wound Infection ◽  
Transposition Flap ◽  
Omental Transposition

Poststernotomy mediastinitis continues to be an infrequent but serious complication after cardiac surgery. We present a case of a 59-year-old man who developed a deep sternal wound infection after an emergency cardiac surgery. Omental transposition flap was used to cover the sternal defect. Several days later, the patient developed a transverse colon herniation into the anterior mediastinum that required emergency exploration and colon resection. The patient survived after a difficult hospital course. Indications, technical points, and possible complications of using omental flap transposition are discussed.

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