Surgical treatment of deep sternotomy infection caused by residual pacing lead: 78 cases analysis
10.3760/cma.j.issn.1001-4497.2020.01.003
- VernacularTitle: 外科手术治疗残留起搏导线导致的深部胸骨切口感染78例
- Author:
Zhentian CUI
1
;
Yongshun GAO
1
Author Information
1. Department of Cardiovascular Surgery, the Seventh Medical Center of PLA General Hospital, Beijing 100700, China
- Publication Type:Journal Article
- Keywords:
Cardiac surgical procedure;
Deep sternal infection;
Pectoralis major muscle flap inversion plasty
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2020;36(1):10-12
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analysis and summarize the experience of surgical treatment of deep sternal infection caused by residual epicardial pacing.
Methods:Retrospective analysis of 78 patients with deep incision infection due to residual epicardial pacing lead after heart disease were selected from the Seventh Medical Center of PLA General Hospital from May 2014 to December 2018. Including 47 males and 31 females, aged 3-72 years old. 38 patients with heart valve surgery(including 18 cases with aortic valvuloplasty, 9 cases with aortic valve replacement, 11 cases with double valve replacement), 14 cases with coronary artery bypass grafting, 26 cases with congenital heart disease surgery(10 cases with atrial septal defect repairment, 11 cases with ventricular septal defect repairment, 5 cases with complex malformation surgery). All patients were infected with sternal incision due to incomplete extraction of the cardiac pacing lead, and treated with the muscle flap turnover operation. The treatment time was 1-5 years after the cardiac surgery in 32 cases, and 46 cases in 1 year.
Results:There was no death in the study. 70 cases were cured in stageⅠ, 5 cases in stageⅡ, and 3 cases were cured after re-operation. 71 cases were followed up for 1 year, there was no recurrence of wound infection.
Conclusion:The operation of pectoralis major muscle flap turnover has opened up a new approach for the treatment of thoracic incision infection caused by residual epicardial pacing lead after cardiac surgery, and it is worth popularizing in clinical practice.
