Intercostal muscle flap reconstruction and primary sternal closure for mediastinal abscess.

Kiehn, Mark W; Heckman, W Wesley; Osaki, Satoru; Kohmoto, Takushi · Ann Thorac Surg · 2008

case_report · Level V

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Abstract

Poststernotomy mediastinal abscess is a life-threatening complication after cardiac operations. A 21-year-old woman had a late presentation of mediastinal abscess 9 years after ascending aortic graft replacement. Three days after the initial débridement and vacuum-assisted closure treatment, successful reconstruction was performed using an intercostal muscle flap and primary sternal closure, without recurrent infection.

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