Sternoplasty with pectoral muscle and dermal flaps due to total loss of sternal bone tissue caused by osteomyelitis

Authors

  • Gustavo J. Bermúdez Yera Servicio de Cirugía Cardiovascular. Cardiocentro “Ernesto Che Guevara”. Villa Clara, Cuba.
  • Ernesto Chaljub Bravo Chaljub Bravo Servicio de Cirugía Cardiovascular. Cardiocentro “Ernesto Che Guevara”. Villa Clara, Cuba.
  • Yoandy López de la Cruz Servicio de Cirugía Cardiovascular. Cardiocentro “Ernesto Che Guevara”. Villa Clara, Cuba.
  • Álvaro L. Lagomasino Hidalgo Servicio de Cirugía Cardiovascular. Cardiocentro “Ernesto Che Guevara”. Villa Clara, Cuba.
  • Mirka Navas Contino Policlínico Santa Clara. Villa Clara, Cuba.
  • Yolepsis Quintero Fleites Servicio de Cirugía Cardiovascular. Cardiocentro “Ernesto Che Guevara”. Villa Clara, Cuba.
  • Nazaret Argueta Cáceres Policlínico Santa Clara. Villa Clara, Cuba.
  • Joaquín Zurbano Fernández Hospital Universitario “Arnaldo Milián Castro”. Villa Clara, Cuba.

Abstract

Mediastinitis is a rare complication in our days, but when occurs it presents high mortality, especially in cardiovascular surgery services. When early treated, the cases with little involvement of the bony structures surrounding the mediastinum have a better
outcome and the integrity of the chest wall is usually kept. When the bone, especially the sternum, is affected and sometimes completely destroyed by the infection (osteomyelitis), the difficulty for attaining a solid closing of the anterior mediastinum arises.
In this circumstance, the cardiovascular surgeon needs to use, in many cases, concepts and techniques of reconstructive surgery to solve the complex situation created. In the case presented, superficial skin structures and the pectoral muscle are used for reconstruction of the chest wall after mediastinitis with osteomyelitis and total loss of sternal bone tissue.

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Published

2014-10-07

How to Cite

1.
Bermúdez Yera GJ, Chaljub Bravo ECB, López de la Cruz Y, Lagomasino Hidalgo Álvaro L, Navas Contino M, Quintero Fleites Y, et al. Sternoplasty with pectoral muscle and dermal flaps due to total loss of sternal bone tissue caused by osteomyelitis. CorSalud [Internet]. 2014 Oct. 7 [cited 2025 Jul. 1];6(4):346-51. Available from: https://revcorsalud.sld.cu/index.php/cors/article/view/124

Issue

Vol. 6 No. 4 (2014)

Section

CASE REPORTS

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