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The Annals of Thoracic Surgery, Vol 52, 102-106, Copyright © 1991 by The Society of Thoracic Surgeons
LJ Kohman, JH Auchincloss, R Gilbert and M Beshara
The morbidity and mortality of infection after median sternotomy have been
substantially reduced with the advent of treatment by wide sternal
resection and muscle flap closure. A study was performed comparing the
cardiorespiratory function of 13 such patients before and after operation
as well as with a control group of 15 patients who underwent similar
procedures without complication. The groups were comparable in preoperative
pulmonary function, though more patients in the study group had evidence of
chronic lung disease. Patients were studied 2 to 39 months after the
original procedure. Late postoperative pulmonary function test results,
exercise tolerance, and oxygen uptake were not significantly different
between the groups, and pulmonary function test results were unchanged in
those patients who were tested preoperatively. We conclude that muscle flap
reconstruction for sternal infection can be expected to give good long-term
functional results. Exercise tolerance and pulmonary function may not
differ from a control group of cardiac surgical patients, despite the
altered composition of the chest wall. Patients with chronic lung disease
may be more prone to have this complication.
ARTICLES
Functional results of muscle flap closure for sternal infection
Department of Surgery, State University of New York Health Science Center, Syracuse 13210.
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