Antibiotic-loaded ceramic sternum for sternal replacement in a patient with deep sternal wound infection

2019 ◽  
Vol 29 (6) ◽  
pp. 973-975 ◽  
Author(s):  
Jeremy Tricard ◽  
Anaëlle Chermat ◽  
Eric Denes ◽  
François Bertin
Keyword(s):  
Cardiac Surgery ◽  
Pulmonary Function ◽  
Wound Infection ◽  
Pulmonary Function Tests ◽  
Porous Alumina ◽  
Alumina Ceramic ◽  
Deep Sternal Wound Infection ◽  
Sternal Wound Infection ◽  
Infected Wound ◽  
Antibiotic Concentration

Abstract A 68-year-old man presented with destruction of his sternum after cardiac surgery. Classical management with multiple debridements, vacuum dressings and antibiotics failed. A replacement of his sternum was performed using an antibiotic-loaded porous alumina ceramic sternum. Despite the infected wound, the ceramic sternum did not get infected due to the high antibiotic concentration obtained locally. Two years after the surgery, no relapse occurred and the pulmonary function tests improved.

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.

scholarly journals Deep sternal wound infection requiring revision surgery: impact on mid-term survival following cardiac surgery☆

2008 ◽  
Vol 33 (4) ◽  
pp. 673-678 ◽  
Author(s):  
Anand Sachithanandan ◽  
Prakash Nanjaiah ◽  
Peter Nightingale ◽  
Ian C. Wilson ◽  
Timothy R. Graham ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Wound Infection ◽  
Revision Surgery ◽  
Deep Sternal Wound Infection ◽  
Sternal Wound Infection ◽  
Term Survival
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