Reconstruction of the Chest Wall by a Myoplasty in the Treatment of Mediastinitis after Cardiac Surgery Caused by Klebsiella pneumoniae
Ben Jmaà Hèla1*, Ghorbel Nesrine1, Cherif Taieb1, Hentati Abdessalem1, Iyadh Ghorbel2, Ben Jmaà Tarak3, Masmoudi Sayda1, Elleuch Nizar1, Ennouri Khalil2,
Ben Jmaà Mounir3 and Frikha Imed1
1Department of Cardiovascular and Thoracic Surgery, Habib Bourguiba Hospital Sfax, Tunisia
2Department of Plastic Surgery, Habib Bourguiba Hospital Sfax, Tunisia
3Department of Infectious Diseases, Hedi Chaker Hospital Sfax, Tunisia
- *Corresponding Author:
- Ben Jmaà Hèla
Department of Cardiovascular and Thoracic Surgery
Habib Bourguiba Hospital Sfax, Tunisia
E-mail: [email protected]
Mediastinitis are among the most dreadful infectious complications following cardiac
surgery. In most of the cases, the medical treatment associated with irrigation drainage is
However, in case of severe sternal dehiscence, plastic surgery becomes necessary in
order to fill up the loss with a well-vascularized tissue. We report the case of a 68-year-old
patient, who presented, after a coronary artery bypass, a sternal dehiscence and
necrosis with a Klebsiella pneumoniae mediastinitis, which was treated by bone
resection and a myoplasty via reversal of the right latissimus dorsi muscle. The post-surgery
course was favourable. Intraoperative photographs (Figures 1-5) are showing the
taking of the right latissimus dorsi muscle and its reversal myoplasty into the sternal
Figure 1: Intraoperative photographs.
Figure 2: Intraoperative photographs.
Figure 3: Intraoperative photographs.
Figure 4: Intraoperative photographs.
Figure 5: Intraoperative photographs.