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International Journal of Cardiovascular Research
Case Report
Pectoralis Major Muscle Flap in the Treatment of Post CABG Sternal Defects
 
Department of Plastic Surgery, Vadilal Sarabhai Hospital, Ahmedabad, India Vijay Yashpal Bhatia*, Department of Plastic Surgery, Vadilal Sarabhai Hospital, Ahmedabad, India Pramod Achuthan Menon, Department of Plastic Surgery, Vadilal Sarabhai Hospital, Ahmedabad, India Susant Mishra and Department of Plastic Surgery, Vadilal Sarabhai Hospital, Ahmedabad, India Sukumar H Mehta
 
Corresponding author : Dr. Vijay Yashpal Bhatia, MS MCh, HOU and Professor Department of Plastic Surgery, Vadilal Sarabhai Hospital, Ahmedabad, India,
E-mail: bhatia101@gmail.com
 
Received: December 12, 2012 Accepted: January 03, 2013 Published: January 21, 2013
 
Citation: Bhatia VY, Menon PA, Mishra S, Mehta SH (2013) Pectoralis Major Muscle Flap in the Treatment of Post CABG Sternal Defects. Int J Cardiovasc Res 2:1. doi:10.4172/2324-8602.1000117
 
Abstract
 
Objectives: The incidence of infected sternotomy wounds after median sternotomy for cardiovascular surgery is about (0.5% to 5%) and it is associated with significant morbidity and a long period of treatment. Today, muscle flaps, such as the Pectoralis major, are widely accepted as a mainstay of reconstructive options. A wide variety of modifications of the Pectoralis muscle flap for coverage of sternal defects are available depending upon the location of defect use of internal mammary artery. We would like to share our experience with Pectoralis major muscle flaps to cover the sternal defects.
 
Methods: The sternal defects were thoroughly debrided and the defects were covered with Pectoralis major flap. Depending on the location of the defect the Pectoralis major flaps were elevated and coverage of defects done.
 
Results: The study of 25 patients with Pectoralis major flaps for sternal defects done from July 2010 to January 2012 followed up for 6 months. There were no recurrences.1 patient developed a hematoma which required evacuation and 2 patients had suture line skin necrosis which was managed conservatively with dressings.
 
Conclusions: The Pectoralis major flap is a practical and effective method in the reconstruction of the Sternal defect caused CABG. It not only provides sufficient volume to fill the entire mediastinum but also affords resolution of the infected wound with favorable outcomes.
 
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