A case report of vein graft rupture (post-CABG) by poststernotomy mediastinitis
Morita, M.; Tanaka, K.; Mieno, S.; Kakimoto, S.
Kyobu Geka. Japanese Journal of Thoracic Surgery 52(5): 398-400
1999
ISSN/ISBN: 0021-5252 PMID: 10319630 Document Number: 501168
Mediastinitis after cardiac surgery is a serious complication with high mortality rates. A 66-year-old woman undergoing CABG developed mediastinitis due to MRSA. The infection was treated by radical debridement and continuous mediastinal irrigation. At the 9th day of irrigation, vein graft rupture with massive bleeding was suddenly occurred and instantly surgical repair (suture of ruptured vein graft) and omental transposition were done. We conclude that omental flap transposition is effective in the management of mediastinitis after cardiac surgery.