[HSF] Image of the week - sternal infection

[A]

Prasanna:
I have news for you, your picture did not come thru. Please have a look at
your message in the Sent items if you use Microsoft Outlook
By the way in our case the common organism in mediastinitis is G positive.
Thank you


Ahmed 
_______________________________________________

-----Original Message-----
From: openheart-l-bounces at lists.hsforum.com
[mailto:openheart-l-bounces at lists.hsforum.com] On Behalf Of psimha
Sent: Sunday, September 09, 2007 3:31 AM
To: OpenHeart-L at lists.hsforum.com; ccm
Subject: [HSF] Image of the week - sternal infection

Speaking of mediastinitis.
Patient underwent mitral valve replacement 3years ago. Sinus occurred 3 
months after surgery. Wire removed and sternum healed. a few months 
later another sinus appears and another wire removed. a few months later 
comes back again with another sinus - cyanoacrylate glue injection 
healed the sinus and all was well again for a year when again it 
recurred. This time the sinus was explored and lead to the costochondral 
junction and it was excisded. Came back again after some time and this 
time a CT scan showed a sequestrum and sinuses. Half of the manubrium 
and, costochondral junctions and sinus tracts (after injecting methylene 
blue) were excised sequestrum was removed and the defect was closed with 
a pectoral flap.
Prasanna