HEMIRECTUS FLAP AND BILATERAL PECTORAL ADVANCEMENT IN MEDIASTINITIS

Yusuf Kenan YALÇINBAŞ, Ersin EREK, Ece SALİHOĞLU, Tayyar SARIOĞLU, *Cemal ŞENYUVA

İstanbul Memorial Hastanesi, Kalp Damar Cerrahisi Bölümü, İstanbul
^*İstanbul Memorial Hastanesi, Plastik ve Rekonstrüktif Cerrahi Bölümü, İstanbul

Today mediastinitis after coronary artery bypass surgery is a rare (< 1%) complication unless insulin dependent diabetes mellitus, bilateral internal thoracic artery use, older age and other major morbidities coexist. If mediastinitis occurs and can not be taken under control by means of classical treatment (partial sternal resection, debridement, Robiscek repair and closed mediastinal irrigation) in a low risk coronary artery bypass patient with left internal thoracic artery graft, best treatment might be right hemirectus flap with bilateral pectoral advancement reconstruction after complete sternal resection.

Keywords : mediastinitis, rectus, pectoral, coronary bypass

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