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Treatment of Sternal Wound Infection Using a Free Myocutaneous Flap

Published byHortense McDowell Modified over 5 years ago

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Presentation on theme: "Treatment of Sternal Wound Infection Using a Free Myocutaneous Flap"— Presentation transcript:

1 Treatment of Sternal Wound Infection Using a Free Myocutaneous Flap
I-han Chiang, MD, Shyi-Gen Chen, MD, Chih-Hsin Wang, MD  The Annals of Thoracic Surgery  Volume 100, Issue 5, Pages (November 2015) DOI: /j.athoracsur Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Chest computed tomographic scan showed hematoma over sternotomy site, retrosternal portion, and pericardial space. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Large sternal defect deep to mediastinal organs.
The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Flap harvested from right anterolateral thigh (ALT) measured about 27 × 6 cm. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 Anastomoses of vessels are shown. Dashed arrow indicates pedicle’s artery anastomosed to superior thyroid artery end to end, and black arrows indicates veins of flap anastomosed to anterior jugular vein end to side. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

6 Fig 5 At 9-month follow-up, no wound infection was found, and patient had returned to normal daily activities. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

7 Fig 6 Flow chart for reconstruction strategy for sternal wound.
The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

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