[Sternal wound complications after cardiac surgery--a case report]
Wiadomosci Lekarskie (Warsaw, Poland : 1960)
|June 23, 2015
Summary
A 59-year-old man experienced sternal wound complications after coronary artery bypass grafting (CABG). Treatment with antimicrobial therapy and negative pressure wound therapy led to complete healing of the sternal dehiscence and infection.
Area of Science:
- Cardiovascular Surgery
- Infectious Diseases
- Wound Healing
Background:
- A 59-year-old male patient with triple vessel coronary artery disease and hypertension developed complications post-coronary artery bypass grafting (CABG).
- The patient presented with sternal wound complications, specifically sternal dehiscence and infection, on the fourth postoperative day.
Observation:
- The wound infection was identified as Staphylococcus haemolyticus, a coagulase-negative methicillin-resistant strain (MRCNS).
Findings:
- Successful management of sternal dehiscence and MRCNS infection was achieved.
- Treatment involved a combination of antimicrobial therapy and negative pressure wound therapy.
Implications:
- This case highlights the successful management of complex sternal wound infections following CABG.
- Negative pressure wound therapy can be an effective adjunct in treating post-sternotomy wound complications caused by resistant bacteria.
