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Thorac Cardiovasc Surg 2008; 56(4): 242-243
DOI: 10.1055/s-2008-1038353
DOI: 10.1055/s-2008-1038353
Case Reports
© Georg Thieme Verlag KG Stuttgart · New York
Interposition of a Thymus Pedicle Flap for the Management of Mediastinitis in a Patient with a Tracheostomy
Further Information
Publication History
Received November 27, 2007
Publication Date:
15 May 2008 (online)
![](https://www.thieme-connect.de/media/thoracic/200804/lookinside/thumbnails/10.1055-s-2008-1038353-1.jpg)
Introduction
The risk of sternal wound infection from a tracheostomy is well recognized [[1], [2]]. Sputum from a tracheal stoma can directly contaminate the underlying sternal wound. Patients with a tracheostomy and deep sternal wound infection (DSWI) have an extremely poor outcome, with a 55 % mortality rate [[2]]. Nonetheless, management of DSWI in patients with a tracheostomy is rarely described in the literature.
References
- 1 Curtis J J, Clark N C, McKenney C A. et al . Tracheostomy: a risk factor for mediastinitis after cardiac operation. Ann Thorac Surg. 2001; 72 731-734
- 2 Force S D, Miller D L, Petersen R. et al . Incidence of deep sternal wound infections after tracheostomy in cardiac surgery patients. Ann Thorac Surg. 2005; 80 618-621
- 3 Legarra J J, Sarralde J A, Lopez Coronado J L, Trenor A M. Surgical approach for cardiac surgery in a patient with tracheostoma. Eur J Cardiothorac Surg. 1998; 14 338-339
- 4 Woodside K J, Zwischenberger J B, Olvera D A, Conti V R. T-modification of sternotomy to accommodate a low-lying tracheostomy. Ann Thorac Surg. 2004; 77 1109
- 5 Puma F, Fedeli C, Ottavi P. et al . Laparoscopic omental flap for the treatment of major sternal wound infection after cardiac surgery. J Thorac Cardiovasc Surg. 2003; 126 1998-2002
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