Noji Sakashi, Yuda Atsushi, Tatebayashi Takayuki, Kuroda Masayoshi
Department of Cardiovascular Surgery, Higashiyamato Hospital, Tokyo 207-0014, Japan.
Gen Thorac Cardiovasc Surg. 2009 Apr;57(4):217-20. doi: 10.1007/s11748-008-0368-y. Epub 2009 Apr 15.
A 66-year-old man on hemodialysis underwent off-pump coronary artery bypass grafting. He was discharged in good condition on postoperative day (POD) 16. A high-grade fever and a purulent discharge emerged on POD 30. Methicillin-resistant Staphylococcus aureus was identified by culturing material from the wound. On admission, vacuum-assisted closure (VAC) therapy was applied for 80 days. Finally, good wound healing allowed us to perform simple wound closure without using muscle flaps or omentoplasty. VAC therapy is a useful and safe procedure for postcardiac surgery mediastinitis.
一名66岁接受血液透析的男性患者接受了非体外循环冠状动脉旁路移植术。他在术后第16天状况良好出院。术后第30天出现高热和脓性分泌物。通过伤口取材培养鉴定出耐甲氧西林金黄色葡萄球菌。入院后，应用负压封闭引流（VAC）治疗80天。最终，伤口良好愈合使我们能够在不使用肌瓣或大网膜成形术的情况下进行简单的伤口缝合。VAC治疗是心脏手术后纵隔炎的一种有用且安全的方法。
