Complex Redo-Reconstruction of Recurrent Sternal Non- Union

Nora Mayer, Katherine De Rome, Periklis Perikleous, Kamran Baig and Vladimir Anikin

Department of Thoracic Surgery, Royal Brompton and Harefield Foundation Trust, UK Department of Oncology and Reconstructive Surgery, Sechenov First Moscow State Medical University, Russia Department of Cardiac Surgery, Guy's and St Thomas' NHS Foundation Trust, UK

^*Correspondance to: Nora Mayer 

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Abstract:

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.

Keywords:

Sternal dehiscence; Sternal reconstruction; Omentoplasty

Cite the Article:

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..