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The Journal of Thoracic and Cardiovascular Surgery, Vol 72, 714-726, Copyright © 1976 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
AT Culliford, JN Cunningham Jr, RH Zeff, OW Isom, P Teiko and FC Spencer
From a series of 2,594 patients undergoing open-heart surgery, 39 had
sternal or costochondral infections. Most of these infections were
associated with a number of predisposing factors: prolonged perfusion time,
excessive postoperative bleeding, depressed cardiac output in the
postoperative period, and a history of re-exploration for the control of
hemorrhage. One important factor was the use of bilateral internal mammary
artery implants. The prognosis for patients with sternal wound infections
appears related to the length of time required for institution of treatment
and the adequacy of initial therapy. Most of these infections are caused by
staphylococcus, although the more complicated infections often are caused
by fungus. The prevention of serious sternal infections depends on a
combination of proper preoperative preparation, attention to minute details
at the time of operation, and recognition of variables predisposing to
wound complications.
ARTICLES
Sternal and costochondral infections following open-heart surgery. A review of 2,594 cases
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