Ishiura Ryohei, Mitsui Kohei, Danno Kanako, Hosomi Kento, Banda Chihena Hansini, Urata Yasuhisa, Narushima Mitsunaga
Department of Plastic and Reconstructive Surgery, Mie University Hospital, Tsu, Mie, Japan.
Department of Cardiovascular Surgery, Mie Central Medical Center, Tsu, Mie, Japan.
Ann Vasc Dis. 2025;18(1). doi: 10.3400/avd.cr.25-00024. Epub 2025 Jul 2.
A 50-year-old male with diabetes mellitus, who experienced recurrent sternal dehiscence secondary to a deep sternal wound infection, failed to respond to treatment with both pectoralis major muscle and greater omental flaps. Consequently, we performed a vertical rectus abdominis muscle flap in a double-pedicle fashion, utilizing the internal mammary artery and the 12th intercostal artery perforator. This intervention successfully addressed the condition. This novel technique offers an excellent therapeutic option for managing this life-threatening complication.
一名50岁患有糖尿病的男性，因深部胸骨伤口感染继发反复胸骨裂开，对胸大肌瓣和大网膜瓣治疗均无反应。因此，我们采用双蒂方式进行了腹直肌肌瓣手术，利用胸廓内动脉和第12肋间动脉穿支。该干预措施成功解决了问题。这项新技术为处理这种危及生命的并发症提供了极佳的治疗选择。
