Title Sternotomy closure using negative pressure wound therapy after heart transplantation /
Authors Gudauskas, Modestas ; Zorinas, Aleksejus ; JanuĊĦauskas, Vilius ; Cvetkova, Jekaterina
DOI 10.1515/semcard-2023-0001
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Is Part of Seminars in cardiovascular medicine.. Warsaw : Walter De Gruyter. 2023, vol. 29, iss. 1, p. 14-17.. eISSN 1822-7767
Keywords [eng] deep sternal wound infection ; negative pressure wound therapy ; heart transplantation
Abstract [eng] Background: Deep sternal wound infection (DSWI) after orthotopic heart transplantation (OHT) is not a common but known complication and carries high mortality and morbidity rates. This report identifies a successful management strategy for recurrent DSWI, and it is a valuable addition to the medical literature supporting the management of sternal wound infections (SWI) along with negative pressure wound therapy (NPWT). Case presentation: This report describes the successful management of recurrent DSWI after OHT in a 52-year-old patient. We performed secondary sternotomy closure along with NPWT for the immunosuppressed patient. Conclusion: Our case demonstrates that a combination of reduced immunosuppression, adequate antimicrobial treatment, and NPWT can effectively treat complicated DSWI.
Published Warsaw : Walter De Gruyter
Type Journal article
Language English
Publication date 2023
CC license CC license description