Baillot Richard, Dumont Eric, Voisine Pierre
Department of Cardiac Surgery, Laval University, Quebec, Canada.
J Cardiothorac Surg. 2010 Jul 22;5:56. doi: 10.1186/1749-8090-5-56.
Redo open-heart surgery and sternal reentry in patients with previous deep sternal wound infection (DSWI) and absence of sternal integrity can be a delicate and morbid task due the lack of a dissection plane between the heart and the surrounding soft tissues. Delayed sternal reconstruction and osteosynthesis with horizontal titanium plating fixation (Synthes) following vacuum assisted therapy (KCI) has recently been proposed and adopted for the treatment of DSWI. We present such a case of a patient who was successfully reoperated for valve replacement three years after coronary artery bypass grafting complicated by DSWI and initially treated with titanium plate fixation.
对于既往有深部胸骨伤口感染（DSWI）且胸骨完整性缺失的患者，再次进行心脏直视手术和胸骨重新切开是一项棘手且风险高的任务，因为心脏与周围软组织之间缺乏解剖层面。最近有人提出并采用在真空辅助治疗（KCI）后进行延迟胸骨重建及采用水平钛板固定（Synthes）进行骨合成的方法来治疗DSWI。我们在此展示这样一个病例，该患者在冠状动脉旁路移植术后并发DSWI并最初接受钛板固定治疗三年后，成功接受了瓣膜置换再次手术。
