PMC3603623_01
Sternocutaneous fistula (arrow).
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Second Department of Propaedeutic Surgery of Athens University with a chest pain and a sternocutaneous fistulous tract discharging pus (Figure 1). Seven weeks earlier, he had undergone a redo coronary artery bypass via median sternotomy.
The defect after the V sternectomy (arrow). The raising of the pectoralis major muscle flaps (forceps).
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The procedure was started with a V-shape partial sternectomy of the midline (Figure 2).
Final result after suturing the medial ends of both flaps.
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Finally, the wire passes from the posterior to anterior surface of the flap 1, which created an overlap of the flaps so that the flap 2 was buried in the V scraped area, and the flap 1 was overlapping (Figure 3).
Postoperative chest wall MRI.
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Postoperative MRI (Figure 4), 6 months after surgery, did not show any pathological finding, and physical examination revealed a normal range of motion for both upper limbs and sternal stability.