A 64-year-old man presented to his general practitioner complaining of intermittent
shortness of breath on exertion, particularly when constipated. His background included
a traumatic above the knee amputation and coronary artery bypass surgery 20 years
ago using bilateral internal thoracic arteries and the left radial artery; this was
complicated by a deep sternal wound infection that required sternal debridement and
bilateral pectoral flaps advancement. A recurrent infection 3 months later was treated
with a second debridement and partial sternectomy followed by pedicled omental flap
reconstruction.
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Article info
Publication history
Published online: March 26, 2020
Accepted:
February 22,
2020
Received:
January 1,
2020
Identification
Copyright
© 2020 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). Published by Elsevier B.V. All rights reserved.
