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Updated: Nov 17, 2025

Catheter-based Endovascular Angioplasty for Fibrosing Mediastinitis-associated Pulmonary Vein Stenosis
Published on: August 26, 2025
[Treatment of recurrent traumatic sternomediastinitis after cardiac surgery]
Yu V Belov1,2, A N Kosenkov1, I A Vinokurov1
1Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia.
Objective:
To assess the possibilities of omentoplasty for prevention of complications after redo sternum osteosynthesis for traumatic rupture.
Material And Methods:
The study included 53 patients with recurrent sternal diastasis. Greater omentum was additionally implanted in 19 (35.8%) cases to improve healing and reduce the risk of infectious complications. In 34 patients, redo osteosynthesis was carried out using a metal wire and deployment of irrigation-aspiration system. In 19 patients, omentoplasty was additionally used to close the wound.
Results:
Omentoplasty was characterized by less duration of lavage (7.4±1.5 vs. 4.2±3.3 days, p<0.0001) and no cases of arrosive bleeding (p=0.04).
Conclusion:
Omentoplasty reduces duration of treatment and risk of arrosive bleeding.
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