Sternal dehiscence, a reconstructive challenge. Case report.
| Autor: | Hernández-Zamora RE; Hospital General Regional No.1 Instituto Mexicano del Seguro Social, Tijuana, Baja California, Mexico., Sotelo-Carbajal J; Hospital General Regional No.1 Instituto Mexicano del Seguro Social, Tijuana, Baja California, Mexico., Martínez-Maya G; Hospital General Regional No.1 'Vicente Guerrero' del Instituto Mexicano del Seguro Social, Acapulco de Juárez, Guerrero, Mexico., García-Ledezma A; Hospital General Regional No.1 Instituto Mexicano del Seguro Social, Tijuana, Baja California, Mexico., Román-Matus A; Hospital Regional 'Dr. Manuel Cárdenas de la Vega' del Instituto de Seguridad Social al Servicio de los Trabajadores del Estado, Culiacán, Mexico., Torres-Salazar QL; Universidad Juárez del Estado de Durango, Facultad de Medicina y Nutrición, Durango, Durango, Mexico. Electronic address: quitzia.torres@gmail.com. |
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| Jazyk: | angličtina |
| Zdroj: | International journal of surgery case reports [Int J Surg Case Rep] 2023 Oct; Vol. 111, pp. 108926. Date of Electronic Publication: 2023 Oct 05. |
| DOI: | 10.1016/j.ijscr.2023.108926 |
| Abstrakt: | Introduction and Importance: Sternotomy is the main surgical procedure used to access the heart and great vessels. Among its most important complications is post-sternotomy dehiscence with an incidence of 10 %; the main risk factors for its occurrence are diabetes mellitus, obesity or chronic obstructive pulmonary disease. Case Presentation: We present a clinical case of a 74-year-old male patient with sternal dehiscence secondary to sternotomy for myocardial revascularisation. Clinical Discussion and Conclusions: Surgical dehiscence of sternotomy presents remarkable complexity and poses a significant challenge to the medical team. The therapeutic approach focuses on addressing the infection, removing the necrotic tissue and then covering the area with highly vascularised tissue. Surgical alternatives include the possibility of using a unilateral pectoralis muscle flap, an option that provides adequate sternal stability and leads to satisfactory functional and cosmetic results. Competing Interests: Conflict of interest statement Nothing to declare. (Copyright © 2023 The Authors. Published by Elsevier Ltd.. All rights reserved.) |
| Databáze: | MEDLINE |
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