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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Published online: March 26, 2020
Accepted: February 22, 2020
Received: January 1, 2020
© 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.