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Eur J Cardiothorac Surg 1998;13:98-100
© 1998 Elsevier Science NL

Case report

Exposed prosthesis of a complex reconstruction of the ascending aorta and aortic arch in a sternal wound infection

Successful treatment by a pectoral muscle flap

^a Service de Chirurgie Cardiaque, CHU Grenoble, BP 217 Grenoble cedex 9, France
^b Service de Radiologie, CHU Grenoble, BP 217 Grenoble cedex 9, France
^c Service de Chirurgie Plastique et Maxillo-faciale, CHU Grenoble, BP 217 Grenoble cedex 9, France

Received 8 July 1997; received in revised form 13 October 1997; accepted 21 October 1997.

Corresponding author. Tel.: +33 476765462; fax: +33 476765264.

A local wound infection developed in a 42-year-old female patient after replacement of ascending aorta, aortic arch and supra-aortic vessels, following aortic dissection. Because of the high risk of infection due to the vascular prosthesis and its location at the upper part of the sternum, a right pectoral muscular flap, detached from the humerus and vascularized by medial perforators originating from the internal mammary artery, was isolated. The postoperative course was uneventful and the patient remains well 16 months after the operation.

Key Words: Prosthesis • Ascending aorta • Aortic arch • Infection • Pectoral muscle flap

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