Patient after CABG 8 months ago. In the long-term period, diastasis of the sternum developed, requiring its resynthesis. Subsequently, purulent fistulas formed with long-term osteomyelitis. Was admitted to our clinic for treatment. The first operation is the removal of wire sutures, costal cartilage, sternum sequesters and opening of four sub-sternal abscesses.
All over again. Three more weeks of VAK therapy. The second “approach” to close the wound with a displaced flap.
p.s. chronic infection led to anemia and kidney failure. In connection with suspicion of amyloidosis, bone marrow and subcutaneous adipose tissue were taken for analysis. Fortunately, it was not confirmed.