Chronic purulent sternum and ribs inflammation after a cardiac procedure successfully treated with omental plasty and hiperbaric oxygenation therapy after 44 months. Case report
Piotr Siondalski, Krzysztof Roszak, Grzegorz Laskawski, Jaroslaw Jurowiecki, Lukasz Jaworski, Maciej Brzezinski, Dariusz Jagielak, Jan Rogowski
CaseRepClinPractRev 2005; 6:216-219
Background: Introducing new perioperative protocol in our department has improved the prognosis for patients with sternal wound infection after a cardiac surgery.
Case report: The aim of this case report is to describe therapeutic management in 70-year-old patient who revealed sternal infection after the combined cardiac procedure. During 44 months following
the operation he was treated by debridement of infected wound five times without a significant
effect. We were forced to introduce a new strategy of treatment. Finally he was successfully treated with omental plasty and hiperbaric oxygenation therapy and now 43 months after the treatment he shows no signs of infection.
Conclusions: The treatment management should be individually applied for each patient and additional
method such as Hyper Baric Oxygenation, could be used for improving the results.
Keywords: Sternum, Infection, Complications of surgery, coronary artery bypass surgery, Elderly (>70 years)