Nora Mayer1*, Katherine De Rome1, Periklis Perikleous1, Kamran Baig3 and Vladimir Anikin1,2
1Department of Thoracic Surgery, Royal Brompton and Harefield Foundation Trust, UK 2Department of Oncology and Reconstructive Surgery, Sechenov First Moscow State Medical University, Russia 3Department of Cardiac Surgery, Guy's and St Thomas' NHS Foundation Trust, UKFulltext PDF
Sternal dehiscence after median sternotomy in cardiac surgery, especially in Coronary Artery Bypass Grafting (CABG) patients in which both Internal Mammary Arteries (IMA) have been utilized, is a rare but serious complication that can have significant adverse effect on quality of life and morbidity. We report a case of complex redo sternal reconstruction using moldable titanium bars and rib clips (Strasbourg Thoracic Osteosyntheses System - STRATOS™; MedXpert GmbH, Heitersheim, Germany), transposition of the greater omentum, bone grafting and advancement of pectoralis muscle flaps. This was performed in a patient with recurrent sternal dehiscence after CABG, which resulted in symptomatic non-union and a large sternal defect.
Sternal dehiscence; Sternal reconstruction; Omentoplasty
Mayer N, De Rome K, Perikleous P, Baig K, Anikin V. Complex Redo- Reconstruction of Recurrent Sternal Non-Union. Ann Clin Case Rep. 2021; 6: 1961..