[A case report of vein graft rupture (post-CABG) by poststernotomy mediastinitis]

Mediastinitis after cardiac surgery is a serious complication with high mortality rates. A 66-year-old woman undergoing CABG developed mediastinitis due to MRSA. The infection was treated by radical debridement and continuous mediastinal irrigation. At the 9th day of irrigation, vein graft rupture with massive bleeding was suddenly occurred and instantly surgical repair (suture of ruptured vein graft) and omental transposition were done. We conclude that omental flap transposition is effective in the management of mediastinitis after cardiac surgery.