Pectoralis Muscle Flaps for Mediastinal Reconstruction

Post-sternotomy mediastinitis (PSM) from deep sternal wound infection (DSWI) is an infrequent but devastating complication of open-heart surgery. Historically, mortality has been reported as high as 50%. Early detection and aggressive surgical management has significantly improved outcomes. Removal of hardware and generous debridement of all necrotic tissue often results in large midline defects. In this article we describe using the pectoralis major for mediastinal reconstruction.The pectoralis major muscle is primarily fed by the internal mammary artery (IMA) and thoracoacromial artery.
Source: Operative Techniques in Cardiac and Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: Thoracic Source Type: research