CASE REPORTS  CARDIAC PAPERS 

The Journal of Cardiovascular Surgery 1998 June;39(3):359-60

Copyright © 2000 EDIZIONI MINERVA MEDICA

language: English

Pedicle transposition of the greater omentum for sternal osteomyelitis and mediastinitis after cardiac operation

Toda R., Yuda T., Watanabe S., Takenaka K., Kaieda M., Koyanagi H., Toyohira H., Taira A.

From the Second Department of Surgery, Faculty of Medecine, Kagoshima University, Kagoshima, Japan

Three ­patients under­went ped­i­cle trans­po­si­tion of ­the great­er omen­tum ­for ster­nal osteo­my­e­li­tis ­and med­i­as­tin­itis ­after car­diac oper­a­tion. These ­patients ­were pre­vi­ous­ly oper­at­ed on ­with cor­o­nary ­artery ­bypass graft­ing, aor­tic ­valve replace­ment ­and ­redo Fontan oper­a­tion in ­each. This pro­ce­dure ­was car­ried ­out on 4, 6, 8, ­and 14th post­op­er­a­tive ­day. The com­pli­ca­tions ­cured with­in ­about ­one ­month ­after ­the pro­ce­dure in ­all cas­es. It is sug­gest­ed ­that ­this maneu­ver is effec­tive ­for obtain­ing heal­ing osteo­my­e­li­tis ­and med­i­as­tin­itis fol­low­ing car­diac oper­a­tion.