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This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Takushi Kohmoto Permission Requests Google Scholar Articles by Kiehn, M. W. Articles by Kohmoto, T. PubMed Articles by Kiehn, M. W. Articles by Kohmoto, T. Related Collections Chest wall

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Case Reports

Intercostal Muscle Flap Reconstruction and Primary Sternal Closure for Mediastinal Abscess

^a Division of Craniofacial, Microvascular, Hand & General Reconstructive Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin
^b Division of Cardiothoracic Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin

Accepted for publication January 18, 2008.

^_* Address correspondence to Dr Kiehn, Department of Plastic Surgery, Kaiser Permanente Franklin Medical Center, 2045 Franklin, Denver, CO 80205 (Email: kiehn{at}surgery.wisc.edu).

Poststernotomy mediastinal abscess is a life-threatening complication after cardiac operations. A 21-year-old woman had a late presentation of mediastinal abscess 9 years after ascending aortic graft replacement. Three days after the initial débridement and vacuum-assisted closure treatment, successful reconstruction was performed using an intercostal muscle flap and primary sternal closure, without recurrent infection.