Anterior Mediastinal Herniation of the Transverse Colon after an Omental Flap Transposition

Halldorsson, Ari; Meyerrose, Gary; Griswold, John
April 2007
American Surgeon;Apr2007, Vol. 73 Issue 4, p367
Academic Journal
Poststernotomy mediastinitis continues to be an infrequent but serious complication after cardiac surgery. We present a case of a 59-year-old man who developed a deep sternal wound infection after an emergency cardiac surgery. Omental transposition flap was used to cover the sternal defect. Several days later, the patient developed a transverse colon herniation into the anterior mediastinum that required emergency exploration and colon resection. The patient survived after a difficult hospital course. Indications, technical points, and possible complications of using omental flap transposition are discussed.


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