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Serious wound infections after minimally invasive coronary bypass procedures
S Pagni1, E J Salloum, G R Tobin
1Division of Thoracic and Cardiovascular Surgery, Jewish Hospital, University of Louisville, Kentucky 40202, USA.
Background:
Minimally invasive coronary artery bypass grafting has become an increasingly accepted therapy for selected patients with single-vessel coronary artery disease. Reported morbidity has focused on anastomotic problems, but the occurrence of serious wound complications after these procedures has not been well documented.
Methods:
We reviewed our institutional experience with 35 patients to look for the incidence of serious wound complications.
Results:
Three patients had serious wound problems after minithoracotomy for coronary artery bypass graft procedures. This represents an overall 9% wound morbidity rate and a 100% rate in the obese women.
Conclusions:
Wound complications at the incision site after minithoracotomy coronary artery bypass graft procedures seem to occur distinctly in obese women with redundant breasts.