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Ann Thorac Surg 2008;85:1094-1096. doi:10.1016/j.athoracsur.2007.09.004
© 2008 The Society of Thoracic Surgeons
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Case Reports

Vacuum-Assisted Closure for Pediatric Post-Sternotomy Mediastinitis: Are Low Negative Pressures Sufficient?

Takayuki Kadohama, MD, PhDa,*, Nobuyuki Akasaka, MD, PhDa, Akira Nagamine, MDa, Keisuke Nakanishi, MDa, Keiko Kiyokawa, MDb, Kazutomo Goh, MD, PhDb, Tadahiro Sasajima, MD, PhDa

a Department of Surgery, Asahikawa Medical University, Asahikawa, Japan
b Department of Emergency Medicine, Asahikawa Medical University, Asahikawa, Japan

Accepted for publication September 4, 2007.

* Address correspondence to Dr Kadohama, Asahikawa Medical University, Department of Surgery, Midorigaoka-Higashi 2-1-1-1, Asahikawa, 078-8510, Japan (Email: tkadoha{at}asahikawa-med.ac.jp).

We present 3 cases of pediatric post-sternotomy mediastinitis treated by a vacuum-assisted closure (VAC). The patients 2 girls, aged 6 months and 10 months, and a 2-year-old boy. The onset of infection was at 9, 14, and 32 postoperative days. The culture examination detected coagulase-negative Staphylococci strains in 2 cases, and Staphylococcus aureus in 1 case. A VAC was performed at –50 mm Hg for 10, 12, and 7 days. The wounds were closed without vascularized soft tissue. A VAC under a low negative pressure is a useful and safe procedure for the management of pediatric post-sternotomy mediastinitis.




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 Ann. Thorac. Surg.Home page
M. Vicchio, M. De Feo, G. Caianiello, and M. Cotrufo
Vacuum for pediatric post-sternotomy mediastinitis: the role of laser Doppler velocimetry in the establishment of adequate subatmospheric pressure intensity.
Ann. Thorac. Surg., October 1, 2008; 86(4): 1399 - 1399.
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