Pyogenic granuloma caused by exposed sternotomy wires

Area of Science:

• Dermatology
• Cardiovascular Surgery

Background:

• Pyogenic granulomas are benign vascular tumors often arising after trauma.
• A rare case of pyogenic granuloma formation secondary to exposed sternotomy wires following coronary artery bypass grafting is presented.

Observation:

• A 75-year-old African American male developed a chest pyogenic granuloma.
• The lesion was attributed to chronic irritation from exposed sternotomy wires from a prior cardiac procedure.

Findings:

• The pyogenic granuloma was surgically excised.
• Exposed sternotomy wires at the lesion base were identified, uncoiled, and repositioned.
• The wound was closed primarily, with no recurrence observed at 15-month follow-up.

Implications:

• This case highlights an unusual etiology for pyogenic granulomas.
• Awareness of sternotomy wire complications is crucial for clinicians.
• Proper management of sternotomy wires can prevent secondary cutaneous lesions.