A 69-year old man underwent ascending aorta grafting and aortic valve replacement for an acute aortic dissection. Nine months later, he suffered from painful ecchymosis and swelling of the sternal wound (Fig. 1). Computed tomography revealed a huge pseudoaneurysm of the ascending aorta (Fig. 2). Reoperation was successfully performed to repair the anasto-motic suture line tears. Figure 1: Promi...

Summary Background Deep sternal wound infection (DSWI) after orthotopic heart transplantation (OHT) is not a common but known complication and carries high mortality morbidity rates. This report identifies successful management strategy for recurrent DSWI, it valuable addition to the medical literature supporting of infections (SWI) along with negative pressure therapy (NPWT). Case presentation...

Sternal dehiscence is a recognised complication after median sternotomy, occurring in 0.5-5% of cases with or without infection. A 72-year-old man presenting with collapse and ventricular tachycardia was investigated for a possible acute cardiac event 2 years after coronary artery bypass grafting for ischemic heart disease. Work-up chest X-ray showed displacement of all sternal wires, and compu...