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胸骨无菌性坏死：冠状动脉搭桥手术后的一种罕见并发症。

Sterile Necrosis of the Sternum: A Rare Complication Following Coronary Artery Bypass Surgery.

作者信息

Papadakis Emmanouel, Konstantinidou Maria Kalliopi, Kanakis Meletios A

机构信息

Department of Cardiac Surgery, Onassis Cardiac Surgery Center.

Department of Cardiothoracic Surgery, Royal Brompton and Harefield NHS Trust.

出版信息

Korean J Thorac Cardiovasc Surg. 2017 Dec;50(6):460-462. doi: 10.5090/kjtcs.2017.50.6.460. Epub 2017 Dec 5.

DOI:10.5090/kjtcs.2017.50.6.460
PMID:29234615
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5716651/
Abstract

We herein present the unique case of a 68-year-old male diabetic patient who developed sterile necrosis of the sternum 1 month after myocardial revascularization with the use of bilateral internal thoracic artery grafts. The sternum had been closed by the bilateral Robicsek wiring technique. The sternum was removed, and bilateral pectoralis major flaps were used to cover the defect. The patient had an uneventful recovery.

摘要

我们在此报告一例独特病例，一名68岁男性糖尿病患者，在使用双侧胸廓内动脉移植进行心肌血运重建术后1个月发生了胸骨无菌性坏死。胸骨已通过双侧罗比克塞克钢丝固定技术闭合。切除胸骨后，使用双侧胸大肌皮瓣覆盖缺损。患者恢复顺利。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7251/5716651/58766690a311/kjtcv-50-460f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7251/5716651/58766690a311/kjtcv-50-460f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7251/5716651/58766690a311/kjtcv-50-460f1.jpg

相似文献

1
Sterile Necrosis of the Sternum: A Rare Complication Following Coronary Artery Bypass Surgery.胸骨无菌性坏死：冠状动脉搭桥手术后的一种罕见并发症。
Korean J Thorac Cardiovasc Surg. 2017 Dec;50(6):460-462. doi: 10.5090/kjtcs.2017.50.6.460. Epub 2017 Dec 5.
2
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本文引用的文献

1
Pectoralis Muscle Flap Repair Reduces Paradoxical Motion of the Chest Wall in Complex Sternal Wound Dehiscence.胸大肌肌皮瓣修复可减少复杂胸骨伤口裂开时胸壁的反常运动。
Korean J Thorac Cardiovasc Surg. 2016 Oct;49(5):366-373. doi: 10.5090/kjtcs.2016.49.5.366. Epub 2016 Oct 5.
2
Blood supply of the sternum and its importance in internal thoracic artery harvesting.胸骨的血液供应及其在胸廓内动脉采集术中的重要性。
Ann Thorac Surg. 2006 Jun;81(6):2155-9. doi: 10.1016/j.athoracsur.2006.01.020.
3
Routine use of bilateral skeletonized internal thoracic artery grafts in middle-aged diabetic patients.
Ann Thorac Surg. 2004 Dec;78(6):2050-3. doi: 10.1016/j.athoracsur.2004.06.031.
4
Bilateral versus single internal thoracic artery grafting in oral-treated diabetic subsets: comparative seven-year outcome analysis.口服降糖治疗的糖尿病亚组中双侧与单侧胸廓内动脉移植：七年比较结果分析
Ann Thorac Surg. 2004 Jun;77(6):2039-45. doi: 10.1016/j.athoracsur.2003.12.061.
5
Skeletonization of bilateral internal thoracic artery grafts lowers the risk of sternal infection in patients with diabetes.双侧胸廓内动脉移植物骨骼化可降低糖尿病患者的胸骨感染风险。
J Thorac Cardiovasc Surg. 2003 Nov;126(5):1314-9. doi: 10.1016/s0022-5223(03)00808-0.
6
Benefit of bilateral over single internal mammary artery grafts for multiple coronary artery bypass grafting.
Circulation. 2001 Oct 30;104(18):2164-70. doi: 10.1161/hc4301.098283.
7
Assessment of sternal vascularity with single photon emission computed tomography after harvesting of the internal thoracic artery.
J Thorac Cardiovasc Surg. 1999 Sep;118(3):496-502. doi: 10.1016/s0022-5223(99)70188-1.
8
Pedicle transposition of the greater omentum for sternal osteomyelitis and mediastinitis after cardiac operation.
J Cardiovasc Surg (Torino). 1998 Jun;39(3):359-60.
9
Sternal wound infections and use of internal mammary artery grafts.
J Thorac Cardiovasc Surg. 1991 Sep;102(3):342-6; discussion 346-7.