Association of sternal wound infection with parasternal muscle sutures

Kenneth Stahl, Harry K. Moon, Margaret J. Gorensek, Patrick McCarthy, Delos M. Cosgrove

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background: Sternal wound infection complicating open-heart surgery is a potentially devastating complication that has been associated with a number of risk factors. We recently consulted on three consecutive patients with this complication who had heavy nonabsorbable parasternal sutures placed in muscle tissue adjacent to the sternum. The atom of this report is to document our findings and caution that this technique to control bleeding from the parasternal intercostal muscles my increase risk of infection. Methods: The pathology, surgical findings, and microbiology of these three cases are analyzed for similarity and possible cause of infection. Results: By surgical observation and culture reports, each infection appeared to have originated at the site of nonabsorbable suture in devascularized parasternal muscle tissue. Sinus tracts could be probed to a similar site in each patient. Conclusion: Placement of sutures in the parasternal muscles where the sternal wires wrap around the bone leads to compression and necrosis of muscle tissue. We caution that this technique to control bleeding may cause a nidus of infection and increase the risk of deep sternal wound infection.

Original languageEnglish
Pages (from-to)498-501
Number of pages4
JournalJournal of Cardiac Surgery
Volume17
Issue number6
DOIs
StatePublished - Nov 1 2002
Externally publishedYes

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Wound Infection
Sutures
Muscles
Infection
Intercostal Muscles
Hemorrhage
Surgical Pathology
Sternum
Microbiology
Thoracic Surgery
Necrosis
Observation
Bone and Bones

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Association of sternal wound infection with parasternal muscle sutures. / Stahl, Kenneth; Moon, Harry K.; Gorensek, Margaret J.; McCarthy, Patrick; Cosgrove, Delos M.

In: Journal of Cardiac Surgery, Vol. 17, No. 6, 01.11.2002, p. 498-501.

Research output: Contribution to journalArticle

Stahl, Kenneth ; Moon, Harry K. ; Gorensek, Margaret J. ; McCarthy, Patrick ; Cosgrove, Delos M. / Association of sternal wound infection with parasternal muscle sutures. In: Journal of Cardiac Surgery. 2002 ; Vol. 17, No. 6. pp. 498-501.
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