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Candidal mediastinitis successfully treated using vacuum-assisted closure following open-heart surgery

Hiroaki Osada1, Hiroyuki Nakajima, Manabu Morishima

  • 1Department of Cardiovascular Surgery, Mitsubishi Kyoto Hospital, Kyoto, Japan. osahiro@kuhp.kyoto-u.ac.jp

Interactive Cardiovascular and Thoracic Surgery
|March 17, 2012
PubMed

Insights

Deep sternal wound infections (DSWIs) are a rare but severe complication after open-heart surgery. This case report shows negative pressure wound therapy (NPWT) is a safe and effective treatment for Candida albicans DSWIs.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Wound Care

Background:

  • Deep sternal wound infections (DSWIs) are a serious complication following open-heart surgery.
  • Candida albicans is a rare but highly fatal cause of DSWIs, with a 56% mortality rate.

Observation:

  • A 79-year-old woman developed a Candidal DSWI after multiple open-heart surgeries.
  • The patient's infection was successfully managed using negative pressure wound therapy (NPWT).

Findings:

  • This case demonstrates the successful application of NPWT in treating a rare Candidal DSWI.
  • NPWT proved to be a safe and suitable method for managing this severe post-surgical infection.

Implications:

  • Negative pressure wound therapy (NPWT) offers a viable treatment option for challenging Candidal DSWIs.
  • This case highlights the importance of considering NPWT for complex sternal wound infections, even those caused by fungi.

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