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Sternal wound infection after heart transplantation: incidence and results with aggressive surgical treatment  Michel Carrier, MD, Louis P Perrault, MD,

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Presentation on theme: "Sternal wound infection after heart transplantation: incidence and results with aggressive surgical treatment  Michel Carrier, MD, Louis P Perrault, MD,"— Presentation transcript:

1 Sternal wound infection after heart transplantation: incidence and results with aggressive surgical treatment  Michel Carrier, MD, Louis P Perrault, MD, Michel Pellerin, MD, Richard Marchand, MD, Pierre Auger, MD, Guy B Pelletier, MD, Michel White, MD, Normand Racine, MD, Denis Bouchard, MD  The Annals of Thoracic Surgery  Volume 72, Issue 3, Pages (September 2001) DOI: /S (01)

2 Fig 1 Actuarial survival of patients with superficial, deep, and acute mediastinitis (infection) compared with patients without sternal wound infection. Survival was lower among patients with sternal wound infection, but the difference is not statistically significant (p = 0.15). The Annals of Thoracic Surgery  , DOI: ( /S (01) )

3 Fig 2 Actuarial survival of patients with deep sternal wound infection and acute mediastinitis compared with patients without deep wound and mediastinal infection. Survival was similar in the two groups. The Annals of Thoracic Surgery  , DOI: ( /S (01) )

4 Fig 3 Computed tomography scan showing (A) a false aneurysm of the ascending aorta (arrow) and (B) a mediastinal abscess behind the ascending aorta (arrow). The patient was treated for a deep sternal wound infection immediately after heart transplantation but showed evidence of mediastinal infection 6 months later. Cultures of the abscess isolated a methicillin-resistant Staphylococcus aureus bacteria. The Annals of Thoracic Surgery  , DOI: ( /S (01) )

5 Fig 4 A patient underwent resection of the false aneurysm, drainage of the retroaortic abscess, reconstruction of the ascending aorta with a cryopreserved homograft, omentoplasty to control mediastinal dead space, and pectoralis muscle flap to secure the sternal closure. The patient had a successful outcome and remains free from recurrence 6 months after the operation. The Annals of Thoracic Surgery  , DOI: ( /S (01) )

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